27th June 2023

Alexandra is a 43-year-old woman who is known to be living with HIV and has been taking antiretroviral medications for the past ten years.

Alexandra is a 43-year-old woman who is known to be living with HIV and has been taking antiretroviral medications for the past ten years. She has good adherence and has a CD4+ T-cell count > 200/μL. She has been experiencing right upper quadrant abdominal pain, vomiting, fever and chills for the past two weeks. Blood tests demonstrate raised liver function tests, specifically raised ALT. Urgent abdominal ultrasound is requested, which demonstrates no obvious obstruction. Which is the most likely diagnosis?

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