The Microbiologist nearly fell off his chair… people were rarely that polite when calling…
“Certainly, what can I help you with?” he replied, feeling immediately predisposed to being happy and helpful. (A very weird and unfamiliar feeling for the Microbiologist!)
“I have a complex patient who had a kidney transplant about 6 months ago who keeps getting UTIs. She has had a number of positive urine cultures and she feels better after being treated, but when the antibiotics stop, she quickly becomes symptomatic again. We’re wondering where we go from here. Should we try a longer course of antibiotics to see if that helps or would she benefit from antibiotic prophylaxis?”
The Microbiologist had been listening intently.
“This could be BK virus infection causing ureteral stenosis. Have you imaged the transplanted renal tract?”
“Beaky what virus?” asked the Junior.
And it had been going so well….