Francisco J Machiavello Roman, MD
InstructorCards
About
Research
Publications
2026
Nocardiosis in Immunocompromised Hosts: A Retrospective, Single‐Center Analysis of Clinical and Microbiological Determinants of Central Nervous System Involvement
Roman F, Grubman A, Yakubu R, Peaper D, Azar M, Farhadian S. Nocardiosis in Immunocompromised Hosts: A Retrospective, Single‐Center Analysis of Clinical and Microbiological Determinants of Central Nervous System Involvement. Transplant Infectious Disease 2026, e70183. PMID: 41665054, DOI: 10.1111/tid.70183.Peer-Reviewed Original ResearchCentral nervous system involvementNervous system involvementPathogen-related variablesSingle-center analysisImmunocompromised patientsSystem involvementCentral nervous systemBrain involvementUnivariate analysisPrevalence of central nervous system involvementRetrospective single-center analysisCentral nervous system infectionHigh riskNervous systemNervous system infectionSolid organ transplantationCase-control analysisNon-Hispanic patientsDisseminated nocardiosisImmunosuppression-relatedImmunocompromised hostsSingle-centerSystemic infectionPatient populationOrgan transplantationConcurrent pulmonary aspergillosis and phaeohyphomycosis due to Verruconis spp. in a stem cell transplant recipient with chronic graft-versus-host disease
Carreras X, Roman F. Concurrent pulmonary aspergillosis and phaeohyphomycosis due to Verruconis spp. in a stem cell transplant recipient with chronic graft-versus-host disease. Medical Mycology Case Reports 2026, 51: 100764. PMID: 41624956, PMCID: PMC12859192, DOI: 10.1016/j.mmcr.2026.100764.Peer-Reviewed Original ResearchInvasive fungal infectionsChronic graft-versus-host diseaseAllogeneic stem cell transplantationGraft-versus-host diseaseStem cell transplant recipientsStem cell transplantationConcurrent pulmonary infectionPulmonary aspergillosisFungal infectionsImmunocompromised patientsImmune compromisePulmonary infectionCell transplantationTransplant recipientsTherapeutic challengeAspergillosisPhaeohyphomycosisPatientsInfectionSppImmunosuppressionTransplantationRecipientsDiseaseStem
2025
Amplifying Our Voices: Fostering Advocacy in Infectious Diseases Fellowship
Paras M, Stead W, Bisono-Garcia B, Pottinger P, Aziz R, Aziz M, Balba G, Blackburn B, Butt S, Chow B, Graber C, Muñoz-Gomez S, Pellegrino R, Schultz S, Shnekendorf R, Jezek A, Martin A, Luther V, Angarone M, Arnold F, Bartash R, Bhanot N, Bhatt P, Bhowmick T, Bittner M, Blyth D, Carey A, Cerne C, Dare R, Donaghy H, Echevarria L, Jose J, Kodiyanplakkal R, Gil R, Roman F, Garcia L, Lora A, Miko B, Mitra S, Osorio G, Patel M, Pinargote P, Razonable R, Salas N, Sellers C, Tang M, Tischendorf J, Trinh S, Viehman J, Vielemeyer O, Wooten D. Amplifying Our Voices: Fostering Advocacy in Infectious Diseases Fellowship. Open Forum Infectious Diseases 2025, 12: ofaf677. PMID: 41322240, PMCID: PMC12662047, DOI: 10.1093/ofid/ofaf677.Peer-Reviewed Original ResearchCase Report: Spinal cord abscess due to Nocardia farcinica presenting as longitudinally extensive transverse myelitis
Chengsupanimit T, Mahajan A, Farhadian S, Roman F. Case Report: Spinal cord abscess due to Nocardia farcinica presenting as longitudinally extensive transverse myelitis. Frontiers In Medicine 2025, 12: 1613770. PMID: 40538403, PMCID: PMC12176813, DOI: 10.3389/fmed.2025.1613770.Peer-Reviewed Case Reports and Technical NotesLongitudinally extensive transverse myelitisExtensive transverse myelitisTransverse myelitisProtean manifestationsCentral nervous system nocardiosisIntramedullary spinal cord abscessCentral nervous system infectionSequencing of cerebrospinal fluidHigh-dose steroidsSpinal cord abscessRenal transplant recipientsNervous system infectionCerebrospinal fluid testingOutpatient follow-upLoss of sensationLower extremity paralysisLoculated collectionsUrinary retentionTrimethoprim-sulfamethoxazoleSystemic nocardiosisTransplant recipientsDiagnostic workupRadiological abnormalitiesMiddle-aged menSpinal imaging
2024
Climate Change and Meningoencephalitis in the Americas: A Brewing Storm
Dionne, E., Machiavello Roman, F. & Farhadian, S. Climate Change and Meningoencephalitis in the Americas: A Brewing Storm. Curr Infect Dis Rep 26, 189–196Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsA Patient With Type 1 Diabetes and Acute Rhinosinusitis
Roman F, Azar M, Trubin P. A Patient With Type 1 Diabetes and Acute Rhinosinusitis. JAMA: The Journal Of The American Medical Association 2024, 331: 1586-1587. PMID: 38630502, DOI: 10.1001/jama.2024.0642.Peer-Reviewed Case Reports and Technical NotesLung infections due to emerging fungal pathogens
Roman F, Pischel L, Azar M. Lung infections due to emerging fungal pathogens. Current Opinion In Pulmonary Medicine 2024, 30: 258-265. PMID: 38411158, DOI: 10.1097/mcp.0000000000001059.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsEndemic mycosesManagement of pulmonary infectionsFungal pathogensPathogenic fungiAntifungal prophylaxisBlastomyces speciesFungal infectionsFungal organismsAspergillus moldsEnvironmental changesImmunocompromised hostsPulmonary infectionTherapeutic challengeLung infectionMycosesClinical evidenceClinical managementIncreased incidencePulmonary diseaseEnlarged poolDisease burdenInfectionLomentosporaScedosporiumDiagnostic capabilities
2021
A case of pneumococcal tricuspid endocarditis: An oslerian diagnosis
Roman F. A case of pneumococcal tricuspid endocarditis: An oslerian diagnosis. IDCases 2021, 24: e01155. PMID: 34026542, PMCID: PMC8134731, DOI: 10.1016/j.idcr.2021.e01155.Peer-Reviewed Case Reports and Technical Notes
2018
Accelerated emergence from a nontraumatic minimally conscious state with levodopa/carbidopa.
Bancalari E, Rabinstein A, Machiavello F, Desmaison A. Accelerated emergence from a nontraumatic minimally conscious state with levodopa/carbidopa. Neurology. Clinical Practice 2018, 8: 541-542. PMID: 30588385, PMCID: PMC6294537, DOI: 10.1212/CPJ.0000000000000508.Peer-Reviewed Case Reports and Technical Notes