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A 27-year Caucasian man received an unrelated donor bone marrow transplant for severe aplastic anaemia. Six weeks later he was re-admitted to hospital with a febrile illness. He developed profuse non-bloody diarrhoea and cervical lymphadenopathy was detected. Blood tests showed pancytopenia and peak concentrations of C-reactive protein 100 mg/l, alanine aminotranferase 357 U/l and alkaline phosphatase 197 U/l. Standard stool microscopy and culture did not reveal any abnormalities and tests for Clostridium difficile toxins a and b …
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