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An unusual case of anaemia and lymphadenopathy in a soldier on deployment
  1. M K O'Shea1,
  2. R Gregg2 and
  3. J Naylor3
  1. 1ST5 Infectious Diseases and Tropical Medicine, Heartlands Hospital and Royal Centre for Defence Medicine, Birmingham, UK
  2. 2ST5 Haematology, Queen Elizabeth Hospital, Edgbaston, Birmingham, UK
  3. 3MDHU Peterborough, Peterborough City Hospital, Edith Cavell Campus, Peterborough, Canada
  1. Correspondence to Surg Lt Cdr Matt O'Shea, Department of Infectious Diseases & Tropical Medicine, Heartlands Hospital, Bordesley Green, Birmingham B9 5SS, UK; m.k.oshea{at}


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.

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