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

Kanj, S. S., K. Welty-Wolf, J. Madden, V. Tapson, M. A. Baz, R. D. Davis, and J. R. Perfect. “Fungal infections in lung and heart-lung transplant recipients. Report of 9 cases and review of the literature..” Medicine (Baltimore) 75, no. 3 (May 1996): 142–56. https://doi.org/10.1097/00005792-199605000-00004.

PMID
8965683
Full Text

Bodily, K., J. R. Perfect, G. Procop, M. K. Washington, and J. Affronti. “Small intestinal histoplasmosis: successful treatment with itraconazole in an immunocompetent host..” Gastrointest Endosc 43, no. 5 (May 1996): 518–21. https://doi.org/10.1016/s0016-5107(96)70300-0.

PMID
8726772
Full Text

Schell, W. A., and J. R. Perfect. “Fatal, disseminated Acremonium strictum infection in a neutropenic host..” Journal of Clinical Microbiology 34, no. 5 (May 1996): 1333–36.

PMID
8727935
Scholars@Duke

Heald, A. E., G. M. Cox, W. A. Schell, J. A. Bartlett, and J. R. Perfect. “Oropharyngeal yeast flora and fluconazole resistance in HIV-infected patients receiving long-term continuous versus intermittent fluconazole therapy..” Aids 10, no. 3 (March 1996): 263–68. https://doi.org/10.1097/00002030-199603000-00004.

PMID
8882665
Full Text

Kauffman, C. A., P. G. Pappas, D. S. McKinsey, R. A. Greenfield, J. R. Perfect, G. A. Cloud, C. J. Thomas, and W. E. Dismukes. “Treatment of lymphocutaneous and visceral sporotrichosis with fluconazole..” Clin Infect Dis 22, no. 1 (January 1996): 46–50. https://doi.org/10.1093/clinids/22.1.46.

PMID
8824965
Full Text

Morris, A., W. A. Schell, D. McDonagh, S. Chaffee, and J. R. Perfect. “Pneumonia due to Fonsecaea pedrosoi and cerebral abscesses due to Emericella nidulans in a bone marrow transplant recipient..” Clin Infect Dis 21, no. 5 (November 1995): 1346–48. https://doi.org/10.1093/clinids/21.5.1346.

PMID
8589181
Full Text

Mitchell, T. G., and J. R. Perfect. “Cryptococcosis in the era of AIDS--100 years after the discovery of Cryptococcus neoformans..” Clin Microbiol Rev 8, no. 4 (October 1995): 515–48.

PMID
8665468
Scholars@Duke

Pappas, P. G., C. A. Kauffman, J. Perfect, P. C. Johnson, D. S. McKinsey, D. M. Bamberger, R. Hamill, P. K. Sharkey, S. W. Chapman, and J. D. Sobel. “Alopecia associated with fluconazole therapy..” Ann Intern Med 123, no. 5 (September 1, 1995): 354–57. https://doi.org/10.7326/0003-4819-123-5-199509010-00006.

PMID
7625624
Full Text

Pages