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Dr. Larry Lutwick

Infectious Disease
Kalamazoo, MI
51 years experience male

Locations

Office

Brooklyn, NY

Address

800 Poly Place, Brooklyn, NY
Directions

Office

Kalamazoo, MI

About

Bio

Dr. Lutwick is a 1972 graduate of State University of New York - Downstate Medical School and did his postdoctoral training at the Barnes Hospital in St. Louis, MO and Stanford University Hospital in Palo Alto, CA. He spent two years as an ID physician in the US Navy and has been on the faculty of UC SanFrancisco School of Medicine, and the University of Iowa School of Medicine and has been Professor of Medicine at SUNY Downstate and Director of Infectious Diseases at the VA Medicial Center in Brooklyn, NY. He is now Professor of Medicine at the Western Michigan University School of Medicine in Kalamazoo, Michigan. He is authored more than 100 peered reviewed papers and about 20 book chapters and has edited two volumes of the Infectious Diseases Clinics and two books. Editor in Chief, IDCases Corresponding Editor, International Journal of Infectious Diseases Moderator, Program for Monitoring Emerging Diseases (promed@promedmail.org)

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Infectious Disease

Doctor Q&A

1.5K Answers
672 Agrees
The number of answers this doctor has agreed with.
A 27-year-old male asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
No magic answer: In the usa, it is recommended that high risk people such as veterinarians receive 2 booster doses 3 days after any subsequent rabies exposure.
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old male asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Virulence factor: The capsule is a virulence factor which makes it more difficult of the body's immune system to kill the organism.
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Although: Classical first episode oral herpes should be easily distinguished from strep by the numerous ulcers in and around the mouth, in adolescents the herpe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
There is: No consensus on what if anything should be used for sars therapy but it does not appear to cause chronic infection in man.
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Chronic?: There are really no chronic viral infections of the throat, although some like Epstein-Barr virus can be excreted in the saliva on and off without sym... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Fluid: There can be residual fluid in the middle ear if this was a middle ear infection. Alternatively, there can be wax or fluid in ear canal. Have someone ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old male asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Starting an anti-: Viral at the first symptoms can stop it in its tracks. Acyclovir or valacyclovir work.
Created for people with ongoing healthcare needs but benefits everyone.
A 59-year-old male asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
See your doctor ASAP: These symptoms can be due to decrease blood flow to the colon (ischemic colitis) or infectious colitis especially due to so-called enterohemorrhagic e... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old female asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
That is very too..: Long an incubation period for that exposure.
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Depends on what is..: Meant for effective and what is being treated and where the infection is. Usually with 12-24 hours, objective criteria of improvement such as decreas... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Some do not be: Treated but if necessary, Amphotericin B or itraconzole can be used.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old male asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Only if injected ...: Using shared needles.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
No: Both can acquire this fungal infection from the environment but it is not transmitted from person to person or dog to person.
Created for people with ongoing healthcare needs but benefits everyone.
A 59-year-old female asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
It depends upon...: If it is thought that this was a recent exposure (within 2 years) or you have risk factors that increase your risk of reactivation of the TB like diab... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old male asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Unknown: Many funny looking things in the stool are non-parasites. Did you take a picture? Have this happened more than once? Where have you been? Where do y... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Not very much: Except that they all affect the liver primarily.
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Depends on the...: Type of viral hepatitis and the kind of contact. Vaccinations are available to prevent hepatitis a ( spread usually by contaminated food or water ) an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Although early ....: Symptoms of HIV infection can occur, many people do not have any symptoms until 7-10 years later.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Only for bacteria: Bacteriophages do not cause diseases in people
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
CCHF: Crimean–congo hemorrhagic fever is a widespread tick-borne viral disease, a zoonosis of domestic animals and wild animals, that may affect humans.
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
You probably are no: Longer infectious but can acquire the infection again. Are your symptoms gone? If not, watch out.
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Depends: The severity of listeria infection depends on who is infected. People whose immune system is compromised, pregnant women, and the elderly are most si... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old female asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Hidradenitis: Hidradenitis suppurativa may be the diagnosis. The primary issue is not infection but abnormalities of the sweat glands.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Yes: They should still be protective.
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Maybe nothing: People can be totally asymptomatic but usual symptoms are nausea and vomiting with right upper abdominal discomfort and can have jaundice with yellow ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Yes: It is a live, attenuated virus vaccine given to children.
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old female asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Should go away: Within a day or so.
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Fever and headache: Are the most common. Seizures may also occur as can weakness on one side of the body.
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
True: It appears that the length of protection from the current ap part of the vaccine is shorter than that of the older, less well tolerated p vaccine. Bo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Classically,: A tetracycline or macrolide (like erythromycin) can be used. Penicillins do not work.
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Scientific?: The bottom line is a risk-benefit analysis. Potentially fatal infections such as tetanus, polio, whooping cough and measles versus mostly minimal sid... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Gut mostly: The usual case of salmonellosis affects the intestines. Rarely, salmonella can affect organs outside the gut.
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Antibiotics and...: Sialogogues are used. The latter are stimulants of salivation such as lemon drops. The infection is usually related to dehydration with plugging of th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Anaphylaxis: Immediate type hypersensitivity, manifest by hives and shortness of breath can be life threatening.
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Yes: Herpes virus effect can be seen in cells in the biopsy and special staining can be used to confirm hsv 1 or 2.
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Maybe: Fever from kidney cancer is not common but can occur and can be associated with some flank pain and blood in the urine.
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old female asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Before it is given,: Some people who are penicillin allergic can have cross allergies to cephalosporins like keflex.
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old male asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Some labs do not : Identify coagulase negative staph as a specific species and call them all 'epidermidis'. Staph saprophyticus does cause utis in young women.
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Many have no sx: Or vague abd distress with or without diarrhea. Sometimes the only thing is finding the worm in the stool or stool test.
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Time: Most cases of conjunctivitis (pink eye) are either irritative or viral and can be eased by artificial tears. Antimicrobial eye drops are often prescri... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Otitis media...: Can be treated with this antimicrobial.
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
The X-ray suggests..: Pulmonary tuberculosis but does not say anything about whether the patient has active infection. Symptoms suggesting activity are fever, cough, night... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
HCV : Is usually spread from contaminated or shared needles. It is less likely to spread sexually or from infected mother to neonate than hbv.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Fever: Which increases step-wise so that at the end of the first week is continuously high, abdominal pain and confusion, so called coma vigil.
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old male asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Not at all: It means for were infected with ebv at some time in the past, like most of us.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
At delivery: All babies are exposed to the mother's blood. It is then that HIV can be transmitted to the baby but that can essentially be prevented by appropriate... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
HIV : This virus, which originated in central africa, is clearly the culprit.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Why chloro?: Most conjunctivitis episodes are either viral, irritative or allergic and not bacterial. Even if it is the latter, there is a very small, but finite,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Probably not: Herpetic lesions should become blisters and then ulcers.
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Get it checked: It could be blood in the stool/diarrhea so you should have it checked out. With diarrhea, it may be due to an intestinal infection like salmonellosis ... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

8
Recommendations
1.6K
Thank you notes
HealthTap member
Nov 24, 2012
in your experience, were the cases with hiv combo test negative at 42 or 62 days and To be an positive after 42 or 62 days?in your experience, have you heard any case?
HealthTap member
Oct 28, 2016
i use to work with him in the brooklyn va , great doctor-- from dolores- still use the soup cup,,best of luck and hello
HealthTap member
Mar 30, 2015
Dr. Lutwick is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Ok thanks, I will have them run those labs. My GP referred me to a Allergy & Immune Dr. I've been tested for Diabetes & HIV several times over the years & those are both negative.
HealthTap member
Thanks for your quick reply! I have had a uti for over a year. Have had stones removed but continuies take macrobid 2xday 4 ten days wait 5 days test if positive repea
HealthTap member
Mebendazole or albendazole are not available to people in Oregon pharmacy's. I would bet no where in US. A doctor wrote a prescription to me and it didn't exist. Nice

Education & Training

Medical/Graduate school

SUNY - Downstate Medical School
Graduated 1972MD

Awards

Top Infectious Disease Specialist , First Place, New York - Winter
2013
Top Infectious Disease Specialist , First Place, Michigan - Summer
2013
Most Influential Doctor, First Place, Michigan - Summer
2014

Affiliations

suny - downstate medical school
VA Medical Center
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