女性，28岁。发热半个月，弛张热型，伴恶 寒、关节痛。查体：皮肤瘀点、Roth点、心 脏有杂音，考虑为感染性心内膜炎。确诊的 直接证据来自

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SQL Error: select id,body,options from ***_enewstiku where sourceid='32598' and id < 2592032 and id<>'2592032' order by id desc limit 5 SQL Error: select id,body,options from ***_enewstiku where sourceid='32598' and id > 2592032 and id<>'2592032' order by id asc limit 5