LAUSR

CLINICAL PRESENTATION A Sudanese man in his early 40s was admitted to our tertiary healthcare centre with a 3month history of abdominal pain, fevers and intermittent diarrhoea on the background of a known bladder lesion awaiting a transurethral resection. The patient denied any other constitutional symptoms and did not have any other significant medical history. On examination, the patient was febrile, but otherwise haemodynamically stable. There was bilateral cervical and left supraclavicular lymphadenopathy with generalised abdominal tenderness without any palpable masses. Admission laboratory investigations demonstrated irondeficiency anaemia: haemoglobin 83 g/L (130–180 g/L); iron <2 μmoI/L (11–3 2 μmoI/L) and ferritin 28 μg/L (30–340 μmoI/L) with a mild C reactive protein rise of 22 mg/L (0–5 mg/L). The patient had significant hypoalbuminaemia with an albumin level of 10 g/L (32–47 g/L). The patient underwent a CT of the abdomen and pelvis with intravenous contrast, followed by a gastroscopy and colonoscopy.