A 24-year-old woman was referred to our specialist unit with a 3-month history of 15·8 kg weight loss, increasing abdominal pain and bloating, fatigue, night sweats, difficulty passing urine, amenorrhoea, and trouble walking. She was nulligravida and had a copper intrauterine device (IUD) in situ for the past 4 years. She was a non-smoker, drank alcohol socially, and had no history of recent travel. She stated she was allergic to penicillin.
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