30-year-old patient presents with a 3-day history of fever with chills and severe weakness. They traveled to South America and consumed street food while working there 1 month ago. They used intravenous drugs and cocaine (snorting) in their early 20s. They often spend time in the woods and have been bitten by several insects in the recent past. Abdominal exam reveals mild hepatomegaly. Routine lab investigations are ordered, including CBC, comprehensive panel, and serology of HIV and Hepatitis B and C. Liver enzymes are elevated, and anti-HCV is positive. Anti-HIV and HBV are negative.How did this patient most likely acquire the hepatitis C infection?

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