A 64-year-old Chinese female with a past history of acute cholecystitis treated conservatively with antibiotics first presented with fever, upper respiratory symptoms and mild jaundice. On initial evaluation, the patient was febrile with a temperature of 39.1°C. Other than mild jaundice, physical examination was otherwise unremarkable. In particular, abdominal examination revealed a soft and non-tender abdomen, with no organomegaly, while the lungs were clear on auscultation.
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