Is an STI causing this man's jaundice?
A man presents with fatigue and nausea. He is a non-injecting drug user and has regular condomless anal intercourse
12th September 2019
Hamish, a 33-year-old web designer, presents complaining of several days of fatigue and nausea. Today he has developed yellow eyes and pruritis.
Hamish attends regularly for pre-exposure prophylaxis (PrEP) for HIV, including three-monthly sexual health checks.
Before starting PrEP, hepatitis B virus immunity was confirmed and hepatitis A virus vaccination completed.
He is sexually active with casual male partners, mostly other PrEP-users. He usually engages in condomless anal intercourse, both insertive and receptive