A patient with fever and jaundice.
A 24-year-old patient presented with fever for 10 days and jaundice that developed over the last 3 days prior to his admission. Initially, he complained of vague abdominal pain and later he suffered from diarrhea.

On admission, the temperature was 39°C, he was mildly jaundiced, the abdomen was soft and no peritoneal signs were detectable. Notable laboratory test were as follows: white cell count, 20 100/mm3; C-reactive protein, 157 mg/l; albumin, 3.1 g/l; total bilirubin, 4.1 mg/dl; (direct 2.3) aspartate aminotransferase 96 U/l; alanine aminotransferase 125 U/l; and alkaline phosphatase 331 U/l. Blood culture …