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

Gilbert, C, Meisenberg, B, Vredenburgh, J, Ross, M, Hussein, A, Perfect, J, and Peters, WP. "Sequential prophylactic oral and empiric once-daily parenteral antibiotics for neutropenia and fever after high-dose chemotherapy and autologous bone marrow support." J Clin Oncol 12, no. 5 (May 1994): 1005-1011.

PMID
8164024
Full Text

Perfect, JR. "Role of classic dimorphic pathogens in contemporary mycoses." Infectious Diseases in Clinical Practice 3 (January 1, 1994): S68-S77.

Full Text

Denning, DW, Lee, JY, Hostetler, JS, Pappas, P, Kauffman, CA, Dewsnup, DH, Galgiani, JN, Graybill, JR, Sugar, AM, Catanzaro, A, Gallis, H, Perfect, JR, Dockery, B, Dismukes, WE, and Stevens, DA. "Erratum: NIAID mycoses study group multicenter trial of oral itraconazole therapy for invasive aspergillosis (American Journal of Medicine (August 1994) 97 (135-144))." American Journal of Medicine 97, no. 5 (January 1, 1994): 497-null.

Full Text

Perfect, JR, and Wright, KA. "Amphotericin B lipid complex in the treatment of experimental cryptococcal meningitis and disseminated candidosis." J Antimicrob Chemother 33, no. 1 (January 1994): 73-81.

PMID
8157577
Scholars@Duke

Casadevall, A, Mukherjee, J, Yuan, R, and Perfect, J. "Management of injuries caused by Cryptococcus neoformans-contaminated needles." Clinical Infectious Diseases 19, no. 5 (1994): 951-953.

PMID
7893887
Scholars@Duke

Denning, DW, Lee, JY, Hostetler, JS, Pappas, P, Kauffman, CA, Dewsnup, DH, Galgiani, JN, Graybill, JR, Sugar, AM, Catanzaro, A, Gallis, H, Perfect, JR, Dockery, B, Dismukes, WE, and Stevens, DA. "NIAID mycoses study group multicenter trial of oral itraconazole therapy for invasive aspergillosis." American Journal of Medicine 97, no. 2 (1994): 135-144.

PMID
8059779
Full Text

Lortholary, O, Robert, J, and Bras, JL. "Epidemiology of chemoresistant Plasmodium falciparum." Annales de Medecine Interne 145, no. 6 (1994): 429-432.

PMID
7864505
Scholars@Duke

Perfect, JR, Ketabchi, N, Cox, GM, Ingram, CW, and Beiser, CL. "Karyotyping of Cryptococcus neoformans as an epidemiological tool." J Clin Microbiol 31, no. 12 (December 1993): 3305-3309.

PMID
8308124
Scholars@Duke

Ingram, CW, Haywood, HB, Morris, VM, Allen, RL, and Perfect, JR. "Cryptococcal ventricular-peritoneal shunt infection: clinical and epidemiological evaluation of two closely associated cases." Infection Control and Hospital Epidemiology 14, no. 12 (December 1993): 719-722. (Review)

PMID
8132998
Full Text

Cameron, ML, Schell, WA, Bruch, S, Bartlett, JA, Waskin, HA, and Perfect, JR. "Correlation of in vitro fluconazole resistance of Candida isolates in relation to therapy and symptoms of individuals seropositive for human immunodeficiency virus type 1." Antimicrobial Agents and Chemotherapy 37, no. 11 (November 1993): 2449-2453.

PMID
8285632
Full Text

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