Malaria signs mask Hodgkin's lymphoma
Jenny is a healthy 19-year-old woman who regularly attends the practice. She was last seen 15 months ago for travel medicine advice, before a gap year volunteering at a Cambodian Christian orphanage.
Prior to commencing a nursing degree on her return, she needed serologic testing for hepatitis and HIV, tuberculosis skin testing, chest X-ray and updating of her routine immunisations.
Jenny had diarrhoea in South-East Asia, which settled on reaching London, when she also ceased malaria prophylaxis. Two weeks later, she saw a GP there for fevers and night sweats.
Despite a negative blood test,