Питання 26 з 90 · Тема: Virology · Microbiology

A 25-year-old male visits his family physician for a 5-day history of fever and fatigue. Upon further questioning, he says that he also had constant muscular pain and headaches. He adds additional information by giving a history of regular unprotected sexual relationship with multiple partners. He is a non-smoker and drinks alcohol occasionally. Vital signs: heart-98/min., respiratory rate-16/min., temperature-38°C and blood pressure - 120/80 mm Hg. On physical examination, he is icteric and hepatosplenomegaly is evident with abdominal tenderness particularly in the right upper quadrant. The serologic markers show the following pattern: IgM anti-HBc positive, HBsAg positive. Which of the following is the most likely diagnosis?

1. A Acquired immune deficiency syndrome(AIDS)
2. B Tuberculosis
3. C Viral hepatitis B
4. D Syphilis
5. E Viral hepatitis A

Правильна відповідь: C. Viral hepatitis B