This conference begins with a kidney transplant recipient presenting with a month of watery diarrhea, AKI, and flood-contaminated spring water exposure, whose stool multiplex PCR returned multiple positives including Campylobacter, norovirus, and EPEC. The case frames the practical challenge of deciding which molecular results are clinically meaningful in immunocompromised hosts.
The teaching portion reviews pitfalls of GI molecular panels, Campylobacter enteritis in kidney transplant recipients, and treatment considerations for chronic norovirus in solid organ transplant. A second case uses post-infusion fever to discuss whether delayed reactions to IV iron can mimic infection.