MRCP2-2650

MRCP2-2650

A 35-year-old woman who is 28 weeks pregnant and recently returned from a business trip to India presents to the clinic. She has been experiencing nausea, flu-like symptoms, and diarrhea for the past few days and has noticed yellowing of her skin. On examination, her blood pressure is 100/70 mmHg, temperature 38.2 °C, and pulse 90 bpm and regular. Abdominal examination reveals tenderness in the right upper quadrant.
Investigations;
Haemoglobin (Hb) 120 g/l 130–170 g/l
White cell count (WCC) 9.5 × 109/l 4–11 × 109/l
Platelets (PLT) 180 × 109/l 150–400 × 109/l
Sodium (Na+) 138 mmol/l 135–145 mmol/l
Potassium (K+) 4.0 mmol/l 3.5–5.0 mmol/l
Creatinine 95 µmol/l 60–110 µmol/l
Alanine aminotransferase (ALT) 1800 IU/l 5–30 IU/l
Albumin 35 g/l 35–55 g/l
Alkaline phosphatase (ALP) 250 IU/l 30–130 IU/l
Bilirubin 110 µmol/l 2–17 µmol/l
International normalised ratio (INR) 1.1 1.1

She has been vaccinated against hepatitis A and B
What is the most likely diagnosis for this patient?