An unusual case of anaemia and lymphadenopathy in a soldier on deployment
- 1ST5 Infectious Diseases and Tropical Medicine, Heartlands Hospital and Royal Centre for Defence Medicine, Birmingham, UK
- 2ST5 Haematology, Queen Elizabeth Hospital, Edgbaston, Birmingham, UK
- 3MDHU Peterborough, Peterborough City Hospital, Edith Cavell Campus, Peterborough, Canada
- Correspondence to Surg Lt Cdr Matt O'Shea, Department of Infectious Diseases & Tropical Medicine, Heartlands Hospital, Bordesley Green, Birmingham B9 5SS, UK;
We describe the case of a British soldier, originally from southeast Africa, who presented to the British military hospital in Helmand Province, southern Afghanistan, with a history of constitutional upset, profound anaemia and diffuse lymphadenopathy with hepatosplenomegaly. Following evacuation to the UK investigations revealed a rare (and a not so rare) diagnosis. This case raises a number of questions regarding the population at risk, the prevalence of endemic diseases in this population and laboratory capabilities in the deployed setting.
- Received February 1, 2013.
- Accepted February 1, 2013.
- Published Online First 22 March 2013
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