A 36-year-old male presents with fatigue and tea-colored urine - TopicsExpress

A 36-year-old male presents with fatigue and tea-colored urine for 5 days. Physical examination reveals jaundice and tender hepatomegaly, but is otherwise unremarkable. Laboratories are remarkable for an aspartate aminotransferase (AST) of 2400 U/L and an alanine aminotransferase (ALT) of 2640 U/L. Alkaline phosphatase is 210 U/L. Total bilirubin is 8.6 mg/dL. Which of the following diagnoses is least likely to cause this clinical picture and these laboratory abnormalities? A. Acute hepatitis A infection B. Acute hepatitis B infection C. Acute hepatitis C infection D. Acetaminophen ingestion E. Budd-Chiari syndrome

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