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【单选题】
患者，女，70岁。外阴、阴道灼热感4天。妇科检查：阴道黏膜有散在出血点，阴道内少许分泌物，呈淡黄色。其最可能的病因是（）。A.
雌激素水平低下
B.
淋菌感染
C.
阴道菌群失调
D.
念珠菌感染
E.
滴虫感染
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