title: An unusual case of anaemia and lymphadenopathy in a soldier on deployment.
abstract: 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.
authors.affiliation: ST5 Infectious Diseases and Tropical Medicine, Heartlands Hospital and Royal Centre for Defence Medicine, Birmingham, UK.
authors.forename: M K
authors.initials: MK
authors.lastname: O'Shea
authors.forename: R
authors.initials: R
authors.lastname: Gregg
authors.forename: J
authors.initials: J
authors.lastname: Naylor
mesh_terms: D000328:Adult; D055826:Afghan Campaign 2001-; D000740:Anemia / Q000821:virology; D023241:Antiretroviral Therapy, Highly Active; D005871:Castleman Disease / Q000150:complications* / Q000821:virology; D015658:HIV Infections / Q000150:complications* / Q000188:drug therapy*; D006529:Hepatomegaly / Q000821:virology; D006801:Humans; D008206:Lymphatic Diseases / Q000821:virology; D008297:Male; D008889:Military Personnel; D013163:Splenomegaly / Q000821:virology