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

Salas, SD, Bennett, JE, Kwon-Chung, KJ, Perfect, JR, and Williamson, PR. "Effect of the laccase gene CNLAC1, on virulence of Cryptococcus neoformans." The Journal of Experimental Medicine 184, no. 2 (August 1996): 377-386.

PMID
8760791
Full Text

Fuller, RE, Drew, RH, and Perfect, JR. "Treatment of vancomycin-resistant enterococci, with a focus on quinupristin-dalfopristin." Pharmacotherapy 16, no. 4 (July 1996): 584-592. (Review)

PMID
8840364
Scholars@Duke

Perfect, JR. "Fungal virulence genes as targets for antifungal chemotherapy." Antimicrobial Agents and Chemotherapy 40, no. 7 (July 1996): 1577-1583. (Review)

PMID
8807043
Full Text

Heinz, T, Perfect, J, Schell, W, Ritter, E, Ruff, G, and Serafin, D. "Soft-tissue fungal infections: surgical management of 12 immunocompromised patients." Plastic and Reconstructive Surgery 97, no. 7 (June 1996): 1391-1399.

PMID
8643722
Full Text

Cohen, A, Tepperberg, M, Waters-Pick, B, Coniglio, D, Perfect, J, Peters, WP, Gilbert, C, Morgan, C, and Vredenburgh, JJ. "The significance of microbial cultures of the hematopoietic support for patients receiving high-dose chemotherapy." J Hematother 5, no. 3 (June 1996): 289-294.

PMID
8817396
Full Text

Perfect, JR, and Schell, WA. "The new fungal opportunists are coming." Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America 22 Suppl 2 (May 1996): S112-S118. (Review)

PMID
8722837
Full Text

Schell, WA, and Perfect, JR. "Fatal, disseminated Acremonium strictum infection in a neutropenic host." J Clin Microbiol 34, no. 5 (May 1996): 1333-1336. (Review)

PMID
8727935
Scholars@Duke

Kanj, SS, Welty-Wolf, K, Madden, J, Tapson, V, Baz, MA, Davis, RD, and Perfect, JR. "Fungal infections in lung and heart-lung transplant recipients. Report of 9 cases and review of the literature." Medicine 75, no. 3 (May 1996): 142-156. (Review)

PMID
8965683
Full Text

Bodily, K, Perfect, JR, Procop, G, Washington, MK, and Affronti, J. "Small intestinal histoplasmosis: successful treatment with itraconazole in an immunocompetent host." Gastrointest Endosc 43, no. 5 (May 1996): 518-521.

PMID
8726772
Scholars@Duke

Heald, AE, Cox, GM, Schell, WA, Bartlett, JA, and Perfect, JR. "Oropharyngeal yeast flora and fluconazole resistance in HIV-infected patients receiving long-term continuous versus intermittent fluconazole therapy." AIDS 10, no. 3 (March 1996): 263-268.

PMID
8882665
Scholars@Duke

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