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CASE STUDY *70: A 27-year-old black male construction worker suddenly experienced
fatigue, anorexia, fever, headaches and intermittent nausea and vomiting. Three or 4 days later he
noticed dark urine. He denied a previous history of hepatitis, liver disease, exposure to jaundiced
individuals, IV drug use or alcohol abuse. He had not received any recent injections, transfusions
or tattoos. He was heterosexual and had several recent sexual contacts, all believed to be in good
health. 70. The most probable diagnosis is: A. acute hepatitis B infection B. Rocky Mountain
Spotted fever C. Typhoid or Paratyphoid fever D. Infectious mononucleosis

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