31st July 2023

A 45-year-old woman who recently immigrated from Taiwan presents to A&E with fever and abdominal pain

A 45-year-old woman who recently immigrated from Taiwan presents to A&E with fever and abdominal pain. On examination, there is prominent scleral icterus, and severe epigastric and RUQ pain with associated rebound tenderness. An enlarged liver is able to be palpated. Bloods show a massive leukocytosis and elevated ALP. She was previously fit and well.

What is the most likely diagnosis?

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