A 42-year-old woman is evaluated for nausea, anorexia, fever, and malaise that have been present for several days. On physical examination, she has visible scleral icterus. She recently returned from a trip to Honduras, and she did not receive any pretravel medical care or immunizations. As part of her evaluation, tests for viral hepatitis are […]
A 24-year-old man who has sex with men is seen in a sexual health clinic with urethral discharge. He is diagnosed and treated for gonorrhea. During the visit he also reports having dark urine, anorexia, fatigue, and intermittent fever. Physical examination is notable for a temperature of 38.2°C, scleral icterus, and right upper quadrant tenderness. […]
A 24-year-old man who has sex with men is seen in a sexual health clinic with urethral discharge. He is diagnosed and treated for gonorrhea. During the visit he also reports having dark urine, anorexia, fatigue, and intermittent fever. Physical examination is notable for a temperature of 38.2°C, scleral icterus, and right upper quadrant tenderness. […]
A 21-year-old man who has sex with men presents to a sexual health clinic to get screening for sexually transmitted infections. He says that a sex partner was recently diagnosed with hepatitis B virus (HBV) infection and asks about his risk of acquiring hepatitis B through sex with this partner. This 21-year-old has never received […]
A 23-year-old woman who has sex with men is seen for a follow-up evaluation in a sexual health clinic after a very recent diagnosis of HIV. As part of the baseline laboratory studies, screening for hepatitis B virus (HBV) infection shows negative hepatitis B surface antigen (HBsAg), positive hepatitis B surface antibody (anti-HBs), and positive […]
A 41-year-old man is seen with nausea, vomiting, fatigue, and jaundice. His main sex partner has chronic hepatitis B virus (HBV) infection, and they regularly have condomless sex. After an extensive evaluation, this 41-year-old is diagnosed with acute HBV infection, but he does not have any clinical or laboratory evidence of liver failure. Which one […]