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An unusual inflammation of the colon
  1. C P Selinger1,
  2. G Howarth2,
  3. R P Willert1
  1. 1Department of Gastroenterology, Manchester Royal Infirmary, Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK
  2. 2Department of Pathology, Manchester Royal Infirmary, Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK
  1. Correspondence toDr Christian Selinger, Department of Gastroenterology, Manchester Royal Infirmary, Central Manchester University Hospitals NHS Foundation Trust, Oxford Road, Manchester M13 9WL, UK; christian.selinger{at}web.de

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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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