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 imagingP-955. Single vs. Multiple-Fellow Triaging Systems in a Large Academic Infectious Disease Service – A Quality Improvement Project
Roman F, Azar M. P-955. Single vs. Multiple-Fellow Triaging Systems in a Large Academic Infectious Disease Service – A Quality Improvement Project. Open Forum Infectious Diseases 2025, 12: ofae631.1145. PMCID: PMC11776702, DOI: 10.1093/ofid/ofae631.1145.Peer-Reviewed Original ResearchImpair patient carePost-intervention surveysPre-intervention surveyTriage systemPatient careDecrease feelings of anxietyProlonged working hoursElectronic medical recordsFeelings of anxietyQI projectSources of burnoutTriage dutiesTriage roleSubspecialty servicesMental healthPrimary providersDecrease interruptionsImprovement projectAttending physiciansDisease servicesDecreased feelingsConsultation serviceInfectious disease serviceCareMedical recordsP-912. A 10-Year Retrospective, Single-Center Analysis of Nocardiosis in Immunocompetent and Immunocompromised Hosts: Clinical and Microbiological Features, Treatment Outcomes, and Determinants of Central Nervous System Involvement
Roman F, Grubman A, Azar M, Farhadian S. P-912. A 10-Year Retrospective, Single-Center Analysis of Nocardiosis in Immunocompetent and Immunocompromised Hosts: Clinical and Microbiological Features, Treatment Outcomes, and Determinants of Central Nervous System Involvement. Open Forum Infectious Diseases 2025, 12: ofae631.1103. PMCID: PMC11778850, DOI: 10.1093/ofid/ofae631.1103.Peer-Reviewed Original ResearchCentral nervous system involvementCentral nervous systemCNS involvementHost immune statusImmune statusImmunocompromised hostsUnivariate analysisAssociated with CNS involvementCentral nervous system nocardiosisRecipients of solid organ transplantsRisk of CNS involvementNet state of immunosuppressionAssociated with central nervous systemIdentification of Nocardia sppMultivariate logistic regression analysisSingle-center analysisStem cell transplantationState of immunosuppressionAssociated with increased riskCNS diseaseIndependent risk factorSolid organ transplantationNervous system involvementIsolates of NocardiaLogistic regression analysis
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