A5040036848- HIV-related health complications and treatments
- HIV/AIDS Research and Interventions
- Pneumocystis jirovecii pneumonia detection and treatment
- Infective Endocarditis Diagnosis and Management
- Antimicrobial Resistance in Staphylococcus
- Bacterial Identification and Susceptibility Testing
- HIV, Drug Use, Sexual Risk
- Food Security and Health in Diverse Populations
- LGBTQ Health, Identity, and Policy
- Hepatitis C virus research
- HIV Research and Treatment
- T-cell and Retrovirus Studies
- Colorectal Cancer Screening and Detection
- Viral Infections and Immunology Research
- Streptococcal Infections and Treatments
- HIV/AIDS drug development and treatment
- Antibiotic Use and Resistance
- Hepatitis B Virus Studies
- Pharmaceutical Practices and Patient Outcomes
- Artificial Intelligence in Healthcare and Education
- Nail Diseases and Treatments
- Fungal Infections and Studies
- Antifungal resistance and susceptibility
- HIV/AIDS oral health manifestations
- Pharmacy and Medical Practices
Rutgers New Jersey Medical School
2020-2025
Rutgers, The State University of New Jersey
2019-2025
New Jersey Microsystems (United States)
2021
Green Cross International
2014
Saint Michael's Medical Center
2003-2005
Remdesivir has seen extensive use during the coronavirus disease-2019 pandemic given its clinically proven efficacy against severe acute respiratory syndrome type 2. There been little cited regarding adverse effects. Here we present case of a patient with marked sinus bradycardia that began acutely on initiation remdesivir and resolved almost immediately cessation drug. (Level Difficulty: Beginner.)
Abstract Background Primary care providers often lack familiarity with pre-exposure prophylaxis (PrEP) for HIV and miss screening high-risk behavior. From 2017-2019 the Academic Internal Medicine Clinic (AIMC) at University Hospital in Newark, NJ averaged 2 PrEP prescriptions/year. Multiple resident lectures to improve treatment saw minimal improvement 4 prescriptions/year from 2020 2021, all of which were refills. This QA/QI project uses Epic smart tools speed integration guideline directed...
Abstract Background Due to numerous structural factors, transgender (TG) individuals are disproportionately affected by HIV in the United States. Prioritizing PrEP for this population remains a priority. In 2020, only an estimated 3% of TG were taking PrEP. However, one study showed that women who had access gender-affirming care more likely discuss use with their healthcare provider. This aims evaluate prescription patterns among seen our integrated infectious disease and practice. Methods...
Abstract Background Food insecurity has been associated with sexual risk behavior that increases Human Immunodeficiency Virus (HIV) in cis women and gender minority (SGM) individuals such as transactional sex for money or food multiple partners. SGM people experiencing insecure immigration status also often face financial housing instability, stigma, discrimination, lack of social support well insecurity. North Jersey Community Research Initiative (NJCRI) is a non- profit organization...
Abstract GBV-C virus infection has been linked to improved clinical outcome in HIV-1 co-infected individuals. The epidemiology of has, thus far, limited the gay male, HIV + population. Here we describe prevalence antibodies against envelope glycoprotein E2 and viremia an inner city This study group is predominantly African-American; 41% participants are women. major risk factor for intravenous drug use. Overall, 56% population had evidence current or past with GBV-C. exposure was not...
Invasive aspergillosis is a classic fungal infection of immunocompromised hosts which rarely manifests in immunocompetent patients. In this report, we present case invasive resulted from induced immunosuppression through corticosteroid treatment chronic rhinosinusitis. Further investigation necessary into the epidemiology mixed rhinosinusitis and providers should be wary disease those receiving steroids.
We report a case of methicillin-resistant Staphylococcus aureus bacteremia and proven prosthetic valve endocarditis successfully treated with ceftaroline salvage therapy after clinical failure daptomycin. The patient, allergic to vancomycin, was daptomycin as monotherapy in combination nafcillin gentamicin. She found have recurrent vegetation on her bioprosthetic mitral valve. On the third day treatment ceftaroline, repeat blood cultures were negative. Imaging performed course showed...
Staphylococcus lugdunensis is a coagulase-negative staphylococcal bacterium (CoNS) that colonizes the skin. While infectious endocarditis (IE) caused by S. rare, it noteworthy because has been associated with an aggressive clinical course. In this report, we present case of culture-negative IE complicated brain abscesses, vision deficits, and progressive heart failure ultimately required mitral valve replacement. The causative agent was eventually identified as through molecular testing...
A male in his 30s with a medical history of newly diagnosed HIV CD4 count 292 cells/mm 3 presented bilateral frontal headache and left upper lower extremity weakness paraesthesias. few months prior, the patient experienced desquamating rash on scalp pruritic, papular genital rash, which both self-resolved. CT head without contrast revealed extensive vasogenic oedema involving right basal ganglia, thalamus, temporal occipital lobes. MRI brain two enhancing masses lentiform nucleus...
Babesiosis is a parasitic tick-borne infectious disease that well elucidated in medical literature and known to be endemic the Midwest northeast United States. However, like other diseases, its epidemiology subject change. This case report documents two cases with clinical presentations deviate from what expected typical of Babesiosis. Two patients presented safety-net hospital Newark, NJ, during summer 2022 nonspecific symptoms. The first patient had history polysubstance use disorder...
Cryptococcus most commonly affects the pulmonary and central nervous systems in patients who are immunocompromised. It is likely to present as meningitis. However, it can affect immunocompetent cerebral parenchyma. Here we describe a rare case of cryptococcoma an male patient originally presented with headache possible seizure-like activity had IV drug use risk factor. Cryptococcomas manifestation disease, due gatti. Definite diagnosis dependent on culture organism treatment includes long...
We present a case of polymicrobial sepsis with Capnocytophaga spp. complicated by purpura fulminans following dog-bite in 50-year-old-man an extensive history opioid use disorder. Generally, severe cases are thought to occur patients underlying immune deficiencies. However, this highlights the importance maintaining clinical suspicion for infection immunocompetent patients, and we discuss role chronic opioid-use infection.
Abstract Background People living with HIV (PLWH) and diabetes mellitus are at increased risk of developing significant medical complications such as atherosclerotic cardiovascular disease. Disproportionate rates among minority groups raise the issue how demographic disparities may impact care. The American Diabetes Association (ADA) 2020 guidelines for care recommend optimal glycemic levels (A), blood pressure control (B), lipid reduction (C), smoking cessation (N), commonly referred to ABC...
Abstract Background In 2017, 21% of new HIV diagnoses occurred in AYAs (ages 13-24), disproportionately among black and Hispanic men who have sex with (MSM). However, only 0.1-1.5% 9.5-15.4% national PrEP prescriptions been provided to under 18 24, respectively, a white male majority. 2018, was approved for use adolescents weighing more than 35kg. limited studies on attitudes AYA providers suggest lack familiarity concerns about adherence, safety, confidentiality, cost led slow uptake AYAs....
To assess levels of overweight and obesity among transgender adults receiving care in an academic medical center Newark, NJ between 2018 2020. We performed a retrospective review electronic records (≥18 years) from through used CDC Body Mass Index (BMI) cut-offs to determine or obesity. Of the 159 patients included this study, median age was 28 years (range 18–75 years), 47.8% were Black, 27.4% LatinX 24.8% White. Majority (89.3%) gender-affirming hormones 69.2% identified as transfeminine....
Abstract The Infectious Diseases Society of America (IDSA) has set clear priorities in recent years to promote inclusion, diversity, access, and equity (IDA&E) infectious disease (ID) clinical practice, medical education, research. IDSA IDA&E Task Force was launched 2018 ensure implementation these principles. Training Program Directors Committee met 2021 discussed best practices as they pertain the education ID fellows. members sought develop specific goals strategies related...
Cryptococcus most commonly affects the pulmonary and central nervous systems in patients who are immunocompromised. It is likely to present as meningitis. However, it can affect immunocompetent cerebral parenchyma. Here we describe a rare case of cryptococcoma an male patient originally presented with headache possible seizure-like activity had IV drug use risk factor. Cryptococcomas manifestation disease, due gatti. Definite diagnosis dependent on culture organism treatment includes long...
Abstract Transgender people are at greater risk than cisgender of acquiring HIV and other sexually transmitted infections. Globally, the infection is nearly 49 times higher in transgender women populations. Although behavioral psychosocial factors contribute to people, gender-affirming hormone (GAH) (i.e., testosterone for individuals assigned female birth or estrogen/antiandrogen male birth) may alter immune cell functions, resulting increased transmission. We have profiled gene expression...
Introduction: Large Language Models (LLMs) such as ChatGPT have the potential to revolutionize hospital work-flow and improve patient-provider communication due their ability create customizable, accessible text. The objective of this study was compare readability patient information sheets generated by those from established clinical sources like UptoDate, test ChatGPT’s customize text different reading comprehension levels specific concerns. Methods: Patient were using OpenAI’s ChatGPT....
Abstract Background With advances in antiretroviral therapy, life-expectancy for people living with HIV (PLWH) has increased. Many specialists function as primary care providers PLWH and are often the front-line of defense when it comes to preventative healthcare. The Infectious Disease Practice (IDP) at University Hospital Newark, NJ serves a medical home site many PLWH. clinic incorporates healthcare measures into providing whole patient well focusing on specific care. Here, we present...