MSFinals-2253

A 35-year-old man has visited his doctor complaining of feeling unwell. He has been experiencing flu-like symptoms, nausea, and joint pain for the past 3 weeks. Additionally, he has noticeable yellowing of the skin. The patient recently returned from a trip to Mallorca, a Spanish island, 6 weeks ago. Although he did not engage in unprotected sex, he frequently dined at local seafood restaurants. He has no medical history. Upon examination, the doctor noted an enlargement of the liver and spleen. What is the most likely cause of this patient’s hepatosplenomegaly?