A 24-year-old man who has sex with men is seen in a sexual health clinic with urethral discharge. He is diagnosed and treated for gonorrhea. During the visit he also reports having dark urine, anorexia, fatigue, and intermittent fever. Physical examination is notable for a temperature of 38.2°C, scleral icterus, and right upper quadrant tenderness. Laboratory studies are sent for causes of acute hepatitis, and he is seen back the following day. The laboratory studies confirm a diagnosis of acute hepatitis A (anti-IgM positive and anti-IgG negative). He has no known chronic medical problems.