Overview
RESEARCH ABSTRACT
Morphology and pathogenesis of Pneumocystis carinii, rapid viral diagnosis, particularly in the immunocompromised host.
Most of my research efforts are of an applied nature which involves adapting new methods of rapid viral diagnosis and testing those newer approaches against standard virological procedures. Validated new tests are incorporated into the standard work-up of appropriate virological specimens. Ultimately the expanded offerings result in a chargeable test for the laboratory. For example as monoclonal antibodies have become available for common respiratory viruses causing lower respiratory tract disease, we have expanded our Respiratory Viral Battery FA and perform that routinely on appropriate specimens as opposed to only performing a RSV FA. We also now charge for Toluidine Blue O staining for Pneumocystis carinii, which I modified and standardized for our lab.
I am also doing an ongoing epidemiological study of adenovirus subtypes in cases of disseminated infection in SCIDs patients. Some of the typing was done by Molly Rivadeneira, M.D. when she rotated through our laboratory. We now have 12 patients in this study.
Also I am studying the morphology and staining characteristics of Pneumocystis carinii when exposed to Calcofluor, a fluorescent brightener that stains cellulose and chitin. In addition to examining laboratory strains, isolates of P. carinii from DUMC patient material is currently being studied. We now have 14 patient isolates in this study.
Morphology and pathogenesis of Pneumocystis carinii, rapid viral diagnosis, particularly in the immunocompromised host.
Most of my research efforts are of an applied nature which involves adapting new methods of rapid viral diagnosis and testing those newer approaches against standard virological procedures. Validated new tests are incorporated into the standard work-up of appropriate virological specimens. Ultimately the expanded offerings result in a chargeable test for the laboratory. For example as monoclonal antibodies have become available for common respiratory viruses causing lower respiratory tract disease, we have expanded our Respiratory Viral Battery FA and perform that routinely on appropriate specimens as opposed to only performing a RSV FA. We also now charge for Toluidine Blue O staining for Pneumocystis carinii, which I modified and standardized for our lab.
I am also doing an ongoing epidemiological study of adenovirus subtypes in cases of disseminated infection in SCIDs patients. Some of the typing was done by Molly Rivadeneira, M.D. when she rotated through our laboratory. We now have 12 patients in this study.
Also I am studying the morphology and staining characteristics of Pneumocystis carinii when exposed to Calcofluor, a fluorescent brightener that stains cellulose and chitin. In addition to examining laboratory strains, isolates of P. carinii from DUMC patient material is currently being studied. We now have 14 patient isolates in this study.
Current Appointments & Affiliations
Assistant Professor of Pathology
·
2021 - Present
Pathology,
Clinical Science Departments
Recent Publications
Hemorrhagic Herpes Simplex Virus Type 1 Nephritis: An Unusual Cause of Acute Allograft Dysfunction.
Journal Article Am J Transplant · January 2017 Interstitial nephritis due to viruses is well-described after solid organ transplantation. Viruses implicated include cytomegalovirus; BK polyomavirus; Epstein-Barr virus; and, less commonly, adenovirus. We describe a rare case of hemorrhagic allograft nep ... Full text Open Access Link to item CiteDiagnosis of human congenital cytomegalovirus infection by amplification of viral DNA from dried blood spots on perinatal cards.
Journal Article J Mol Diagn · May 2006 Congenital human cytomegalovirus (HCMV) infection affects 1% of children and is the most common infectious cause of sensorineural hearing loss. Due to the difficulty of diagnosing deafness and other neurological disorders in infants, affected individuals m ... Full text Link to item CiteDetection of Pneumocystis jiroveci in respiratory specimens by four staining methods.
Journal Article J Clin Microbiol · July 2004 We examined four staining methods on replicate smears of 313 respiratory specimens submitted for Pneumocystis jiroveci examination. The sensitivity and specificity of Calcofluor white stain (CW) were 73.8 and 99.6%, respectively. The sensitivity and specif ... Full text Link to item CiteRecent Grants
One Health Training Program
Inst. Training Prgm or CMEPreceptor · Awarded by US Department of State · 2016 - 2017One Health Training Program
Inst. Training Prgm or CMEPreceptor · Awarded by CRDF Global · 2015 - 2016One Health Training Program
Inst. Training Prgm or CMEPreceptor · Awarded by CRDF Global · 2014 - 2015View All Grants
Education, Training & Certifications
University of North Carolina, Chapel Hill ·
1983
Ph.D.