Question: A 50-year-old woman attended the emergency department for asthenia, anorexia, weight loss, jaundice, fever and abdominal pain. It does not refer to recent history of blood transfusion, risky sexual contacts or addiction to parenteral drugs. Usual consumption of 60 grams of alcohol per day during the last five years, consumption that has increased during the previous month due to family problems. Temperature 38.5ºC, blood pressure 100/60 mmHg. Physical examination shows temporo-spatial disorientation, malnutrition, asterixis, jaundice and painful hepatomegaly. No ascites or peritoneal irritation data. Laboratory tests include leukocytes 15,000 / microliter with 90% polymorphonuclear cells, red blood cells 3 million / mm3, hemoglobin 10 g / dl, mean corpuscular volume 115 fl, bilirubin 15 mg / dl direct predominance, AST (GOT) 300 IU / L, ALT (GPT) 120 IU / L, GGT 635 IU / L, prolongation of prothrombin time greater than 50%. What is the most likely diagnosis of the condition presented by the patient? 
 Options:  <1> Liver abscess. <2> Acute cholecystitis. <3> Acute cholangitis <4> Alcoholic hepatitis <5> Acute pancreatitis
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