2nd August 2023

A 38-year-old presents with right upper quadrant pain, fever, diarrhoea and vomiting. She recently returned from Vietnam

A 38-year-old presents with right upper quadrant pain, fever, diarrhoea and vomiting. She recently returned from Vietnam, where she ate mainly seafood. Abdominal examination is positive for Murphy’s sign, and there is some palpable lymphadenopathy. Blood tests show elevated ALP and GGT, and eosinophilia.

What is the first line treatment for the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.