John Robert Perfect, MD

Professor of Medicine
James B. Duke Professor of Medicine
Chief, Division of Infectious Diseases
Professor in Molecular Genetics and Microbiology
Campus mail Duke Box 102359, Durham, NC 27710
Phone (919) 684-4016
Email address perfe001@mc.duke.edu

Research in my laboratory focuses around several aspects of medical mycology. We are investigating antifungal agents (new and old) in animal models of candida and cryptococcal infections. We have examined clinical correlation of in vitro antifungal susceptibility testing and with in vivo outcome. Our basic science project examines the molecular pathogenesis of cryptococcal infections. We have developed a molecular foundation for C. neoformans, including transformation systems, gene disruptions, differential gene expression screens, and cloning pathogenesis genes. The goal of this work is to use C. neoformans as a model yeast system to identify molecular targets for antifungal drug development. There are a series of clinical trials in fungal infections which are being coordinated through this laboratory and my work also includes a series of antibiotic trials in various aspects of infections. Finally, we have now been awarded a NIH sponsored Mycology Unit for 5 years with 6 senior investigators which is focused on C. neoformans as a pathogenic model system, but will include multiple areas of medical mycology from diagnosis to treatment.

Education and Training

  • Fellow, Infectious Diseases, Duke University School of Medicine, 1977 - 1980
  • Resident, University of Michigan at Ann Arbor, 1975 - 1977
  • Intern, Riverside Methodist Hospital, 1974 - 1975
  • M.D., University of Toledo, 1974

Publications

Mourad, A, and Perfect, JR. "Present and Future Therapy of Cryptococcus Infections." Journal of Fungi (Basel, Switzerland) 4, no. 3 (July 3, 2018). (Review)

PMID
29970809
Full Text

Perfect, JR, Cornely, OA, Heep, M, Ostrosky-Zeichner, L, Mullane, KM, Maher, R, Croos-Dabrera, R, Lademacher, C, Engelhardt, M, Chen, C, and Marty, FM. "Isavuconazole treatment for rare fungal diseases and for invasive aspergillosis in patients with renal impairment: Challenges and lessons of the VITAL trial." Mycoses 61, no. 7 (July 2018): 420-429. (Review)

PMID
29570857
Full Text

Marty, FM, Cornely, OA, Mullane, KM, Ostrosky-Zeichner, L, Maher, RM, Croos-Dabrera, R, Lu, Q, Lademacher, C, Oren, I, Schmitt-Hoffmann, A-H, Giladi, M, Rahav, G, and Perfect, JR. "Isavuconazole for treatment of invasive fungal diseases caused by more than one fungal species." Mycoses 61, no. 7 (July 2018): 485-497.

PMID
29611227
Full Text

Maskarinec, SA, Parlak, Z, Tu, Q, Levering, V, Zauscher, S, López, GP, Fowler, VG, and Perfect, JR. "On-demand release of Candida albicans biofilms from urinary catheters by mechanical surface deformation." Biofouling 34, no. 6 (July 2018): 595-604.

PMID
29897277
Full Text

Mourad, A, Johnson, M, and Perfect, J. "Predictors of Mortality in Patients Receiving Voriconazole." Atlanta, GA,: American Society of Microbiology - Microbe, June 8, 2018.

Scholars@Duke

Garcia-Santamarina, S, Festa, RA, Smith, AD, Yu, C-H, Probst, C, Ding, C, Homer, CM, Yin, J, Noonan, JP, Madhani, H, Perfect, JR, and Thiele, DJ. "Genome-wide analysis of the regulation of Cu metabolism in Cryptococcus neoformans." Molecular Microbiology 108, no. 5 (June 2018): 473-494.

PMID
29608794
Full Text

Hommel, B, Mukaremera, L, Cordero, RJB, Coelho, C, Desjardins, CA, Sturny-Leclère, A, Janbon, G, Perfect, JR, Fraser, JA, Casadevall, A, Cuomo, CA, Dromer, F, Nielsen, K, and Alanio, A. "Titan cells formation in Cryptococcus neoformans is finely tuned by environmental conditions and modulated by positive and negative genetic regulators." Plos Pathogens 14, no. 5 (May 18, 2018): e1006982-null.

PMID
29775480
Full Text

Vasquez, A, Zavasky, D, Chow, NA, Gade, L, Zlatanic, E, Elkind, S, Litvintseva, AP, Pappas, PG, Perfect, JR, Revankar, S, Lockhart, SR, Chiller, T, Ackelsberg, J, and Vallabhaneni, S. "Management of an Outbreak of Exophiala dermatitidis Bloodstream Infections at an Outpatient Oncology Clinic." Clinical infectious diseases : an official publication of the Infectious Diseases Society of America 66, no. 6 (March 2018): 959-962.

PMID
29121235
Full Text

Charalambous, LT, Premji, A, Tybout, C, Hunt, A, Cutshaw, D, Elsamadicy, AA, Yang, S, Xie, J, Giamberardino, C, Pagadala, P, Perfect, JR, and Lad, SP. "Prevalence, healthcare resource utilization and overall burden of fungal meningitis in the United States." Journal of Medical Microbiology 67, no. 2 (February 2018): 215-227.

PMID
29244019
Full Text

Mourad, A, and Perfect, JR. "Tolerability profile of the current antifungal armoury." The Journal of Antimicrobial Chemotherapy 73, no. suppl_1 (January 2018): i26-i32. (Review)

PMID
29304209
Full Text

Pages