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A 25-year-old male visits his family physician for a 5-day history of fever and ...
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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 rate --- 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?
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