A man reports to his doctor that he is tired all the time and his urine has become darker in color. He has not experienced fever or vomiting recently. The physician notes that his eyes are yellowish and his abdomen is swollen. The man has a history of kidney transplant and recently returned from an overseas trip. The man may be infected with

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The symptoms of yellowish eyes, swollen abdomen, fatigue, and dark urine are characteristic of hepatitis. Hepatitis E virus is commonly transmitted through contaminated food and water in developing countries, which would explain the man's recent overseas trip as a possible source of infection. Additionally, individuals with a history of kidney transplant are at increased risk for viral hepatitis infections due to the immune suppression medications they take.

A Man Reports to His Doctor That He Is Tired