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A 40-year old recovering IV drug addict is evaluated for fever, malaise, anorexia, vomiting and jaundice. He also has red bumps on the skin of his lower extremities. He stopped using heroin approximately 6 months ago when he was still homeless and often used dirty needles to satisfy his drug addiction. Lab findings reveal impaired liver function with elevated liver enzymes. Hepatitis serology is obtained:
Anti-HAV IgM antibodies NegativeAnti-HAV IgG antibodies PositiveHBs antigen NegativeAnti-HBs antibodies PositiveAnti-HBc antibodies NegativeAnti-HCV antibodies Positive
The most appropriate conclusion is that the patient has:
1. Developed hepatitis A and is immune to hepatitis B and C2. Developed hepatitis B and is immune to hepatitis A and C3. Developed hepatitis C and is immune to hepatitis A and B4. Been immunized against hepatitis A, B and C
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