A 42 year old man abuses intravenous drugs. He complains of 2 weeks of anorexia and nausea.He noted that his urine turned dark and his stool turned light.
Blood work is consistent with acute viral hepatitis. Serologic studies are done:
Hepatitis A IgG: positive
Hepatitis A IgM: negative
Hepatitis C Antibody: negative
Hepatitis B surface antigen: positive
Hepatitis B surface antibody: negative
Hepatitis B core IgM antibody: positive
Which of the following best explains the mechanism of hepatic injury in this patient?
