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 61-year-old male asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
For me, : A physician and a patient with cluster headache, lithium, oxygen and most meds didn't help. My clusters come when the weather turns cold and can be c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Sand flies: Leishmaniasis does not generally transmit from person-to-person but is acquired from the bite of an infected female sand fly in endemic area.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
They are more likely: To have symptoms from the nematode.
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Where?: It is likely present in underdeveloped countries but has certainly be imported into the developed world on raspberries and other foodstuffs that are n... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
EHEC: O157 is the classical pathotype of enterohemorrhagic e. Coli (ehec). There are other shiga toxin producing e. Coli that can cause the same serious s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
You are likely: Referring to the non-beta hemolytic strep, also called Alpha hemolytic strep. They are commonly found in the mouth and can be associated with endocard... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
As safe as many drug: Inh is one of the stalwart drugs with Rifampin in the treatment of active tb. Despite the potential for liver toxicity, it can usually be used under ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
No. Not at all: Unpasteurized juices have spread a variety of infections. Especially when you are pregnant, you need to avoid such items. Please!
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Category B: Seems safe in pregnancy.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
It has been...: Studied to prevent strep infections in children with pandas with really equivocal results.
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Mostly animals: Most strains are normal bowel flora in a variety of animals including turtles, chickens and cattle.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
A 2 step TST is: Serial tests 2 weeks apart. This short interval implies an old positive test and not a skin test conversion.
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Not necessarily: Most parasites, especially in small numbers, can live as commensals, that is, they eat with you, not you.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Not yet: Although prototype vaccines have been studied for decades.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Not at all rare: Cdc estimates that a bit over 250, 000 cases of shiga toxin producing e. Coli occur in the usa annually. Large and small outbreaks occur frequently a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Yes.: There are a lot of reasons including that people are living longer while becoming quite debilitated and that in the hospital many more invasive proced... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Lots of bacteria...: Can be the cause of enteric infection including e. Coli, salmonella, shigella, campylobacter, yersinia, and vibrio.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Washing helps..: But hot or cold doesn't really matter.
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
No: But lymphogranuloma venereum is.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Rare: But not unheard of. Group a strep is at the top.
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Sort of.: Streptococcus pneumonaie is far and away the most common cause of sepsis after splenectomy. H. Flu occurs but most adults are immune and most children... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Mostly: Wild type poliomyelitis virus still circulates in some areas of the world but is almost never acquired elsewhere.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Candida, : Most commonly candida albicans, is a yeast found in the oral, gi, and vaginal tract.
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
The H5N1 avian flu..: Is a highly pathogenic influenza agent in birds and in man. Although poorly transmitted from birds to man and from man to man, the death rate is abou... 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
Risk-benefit balance: The benefit of preventing many life-threatening disease like measles and polio and diphtheria versus usually minor side-effects. It is like walking a... 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
Food borne illness: There are many causes. Some have illnesses that are self limited like staph and norovirus that are treated symptomatically. Others like salmonella an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
The current polio: Vaccine in the usa is an inactivated (killed) virus vaccine.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Mostly yes. : As with the freedom of speech, you can say almost anything you want and be protected as an american. In most instances, vaccinations can be avoided b... 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
Certain ticks...: Such as the dog tick and the wood tick are dermacentor ticks, common vectors of rmsf. These ticks are different from ixodes ticks that transmit lyme ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Osteomyelitis : Can raise the white blood count in acute infection, but chronic osteo usually doesn't.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Mostly allergy: The most common side effects are allergies including hives, anaphylaxis and erythema multiforme.
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Sometimes a while: Clindamycin was the first antimicrobial to be linked to pseudo membranous enterocolitis, a potential serious and even life threatening infection due t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Yes but...: The antimicrobial will not decrease the risk of tobacco use.
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Decision making: A number of factors exist here. What was the circumstance around the bite? Unprovoked? How is your dog behaving? Normally? Has the dog been previousl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Yes: Serotype o157:h7 is one of a great number of serotypes of e. Coli. O is the somatic antigen and h is the flagella antigen. This serotype is one of t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Coccidiodomycosis: Initially can cause a pneumonia as the arthrospores are inhaled from the environment although many infections are asymptomatic. In a small number of ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 66-year-old female asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
My condolences : Sorry for your loss. It may well be that the pneumonia developed after the cath.
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Detoxified: A toxoid is a bacterial toxin such as tetanus or diphtheria or pertussis toxin, that has been detoxified but is still immunogenic so it can be used to... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Some: Such as epstein-barr virus or cytomegalovirus may as acute infections and certainly hepatitis b and c can cause chronic infection as can HIV for sure.
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
7-10 days: For the rash to run its course. Longer, if post herpetic neuralgia persists. Phn can last months, sometimes years.
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Virus reactivation: After having had chickenpox, the virus can lie dormant in the nerve ganglion only to reactivate years to decades later. Most people who get it, only g... 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
Contaminated food: An outbreak occurs when a food source, often one that is served uncooked or is undercooked, has been contaminated by animal droppings. Only typhoid, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old male asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
With time: Except with acute hepatitis c which is rarely recognized, viral hepatitis generally does not need any therapy other than tincture of "time".
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old female asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
The danger is...: In not giving it. In the prevaccine age, far too many children died from complications of measles, new babies suffered severe damage from congenital ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Hot water bottle: Can lessen the cramps associated with bacterial diarrhea. It is not a good idea to use Lomotil (diphenoxylat and atropine) or other drugs to slow dow... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Yes: Tetracycline type drugs or macrolides like Erythromycin work. Penicillins do not.
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Doxy can: Doxycycline is active against many of the bacteria that can cause utis.
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
Thank you: For thinking about the elderly that you care for. It depends on your employer how it 'goes down'. Unfortunately, some will want you to take sick lea... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Larry Lutwick
Infectious Disease 51 years experience
ESBL stands for...: Extended spectrum beta-lactamase and organisms that produce it are more resistant to antimicrobials but do not necessarily produce more serious infect... 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
1991: In november 1991, the advisory committee on immunization practices recommended HBV immunization for infants.
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
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less