Case presentation: A 59-year-old male complained of dark urine color and yellowish skin discoloration. Six days before the presentation, the individual experienced fever and chills. This was followed by fatigue, lack of appetite, and body pains.
He was not sexually active and denied consuming alcohol, cigarettes, illegal drugs, and any over-the-counter, prescription, or natural supplements. Medical history: He was treated for malaria one year ago. Physical examination Tachycardia (117beats/min) Icteric sclera Abdominal distension Hypoactive bowel sounds Laboratory tests Blood urea nitrogen (BUN): 31 mg/dL White blood cells (WBC): 16.8×109/L Platelets: 77×109/L Aspartate aminotransferase (AST): 50 IU/L Alanine aminotransferase (ALT): 44 IU/L Serum total bilirubin: 9.27 mg/dL Serum conjugated bilirubin: 6.44 mg/dL Serum creatinine: 1.69 mg/dL Anti-smooth muscle antibody: 1:20 IgG4: 128…
