I am an Internist and Pediatrician trained in Pediatric Infectious Diseases. I provide clinical care on the Pediatric Infectious Diseases consult service and I am a medical officer with the Tuberculosis Control Branch at the California Department of Public Health. There I provide clinical consultation on MDR TB in addition to contributing to outbreak control and policy. My prior research, in the lab of Dr. Catherine Blish, explored anti-viral immunity and the systemic immune changes that occur during pregnancy. Throughout my career I have focused on improving care for underserved populations and have an interest in pediatric HIV and TB in resource-limited settings.

Clinical Focus

  • Pediatric Infectious Disease

Academic Appointments

Professional Education

  • Fellowship:Stanford University (2014) CAUnited States of America
  • Board Certification: Pediatrics, American Board of Pediatrics (2010)
  • Board Certification: Internal Medicine, American Board of Internal Medicine (2009)
  • Residency:Maine Medical Center (2009) ME
  • Medical Education:University of Connecticut School of Medicine (2005) CTUnited States of America


All Publications

  • Pregnancy Does Not Attenuate the Antibody or Plasmablast Response to Inactivated Influenza Vaccine. journal of infectious diseases Kay, A. W., Bayless, N. L., Fukuyama, J., Aziz, N., Dekker, C. L., Mackey, S., Swan, G. E., Davis, M. M., Blish, C. A. 2015; 212 (6): 861-870


     Inactivated influenza vaccine (IIV) is recommended during pregnancy to prevent influenza infection and its complications in pregnant women and their infants. However, the extent to which pregnancy modifies the antibody response to vaccination remains unclear, and prior studies have focused primarily on hemagglutinin inhibition (HI) titers. A more comprehensive understanding of how pregnancy modifies the humoral immune response to influenza vaccination will aid in maximizing vaccine efficacy. Healthy pregnant women and control women were studied prior to, 7 days after, and 28 days after vaccination with IIV. HI titers, microneutralization (MN) titers, and the frequency of circulating plasmablasts were evaluated in pregnant versus control women. Pregnant women and control women mount similarly robust serologic immune responses to IIV, with no significant differences for any influenza strain in postvaccination geometric mean HI or MN titers. HI and MN titers correlate, though MN titers demonstrate more robust changes pre- versus postvaccination. The induction of circulating plasmablasts is increased in pregnant women versus controls (median fold-change 2.60 vs 1.49 [interquartile range, 0.94-7.53 vs 0.63-2.67]; P = .03). Pregnant women do not have impaired humoral immune responses to IIV and may have increased circulating plasmablast production compared to control women.

    View details for DOI 10.1093/infdis/jiv138

    View details for PubMedID 25740957

  • Immunogenicity and clinical efficacy of influenza vaccination in pregnancy FRONTIERS IN IMMUNOLOGY Kay, A. W., Blish, C. A. 2015; 6: 1-9
  • Pleural Effusion and Fever in an Immunocompromised Patient. Journal of the Pediatric Infectious Diseases Society Kay, A. W., Itoh, M., Valdez, J., Chen, S. F., Mathew, R., Gans, H. A. 2015; 4 (1): e6-9

    View details for DOI 10.1093/jpids/piu018

    View details for PubMedID 26407371

  • Delayed BCG vaccination--time to take a shot. journal of infectious diseases Kay, A. W., Blish, C. A. 2015; 211 (3): 335-337

    View details for DOI 10.1093/infdis/jiu435

    View details for PubMedID 25108029

  • Enhanced natural killer-cell and T-cell responses to influenza A virus during pregnancy PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA Kay, A. W., Fukuyama, J., Aziz, N., Dekker, C. L., Mackey, S., Swan, G. E., Davis, M. M., Holmes, S., Blish, C. A. 2014; 111 (40): 14506-14511
  • Seizure and Meningoencephalitis in an Adolescent CLINICAL PEDIATRICS Li, L., Kay, A. W., Hong, D. K. 2013; 52 (12): 1181-1183

    View details for DOI 10.1177/0009922813506962

    View details for Web of Science ID 000326576300016

    View details for PubMedID 24137030



    Renal tuberculosis is rare in children and particularly in infants. We present a case of miliary tuberculosis with focal renal involvement in a 5-month-old male infant recently adopted from Ethiopia, and review the literature on miliary and renal tuberculosis in infants and children. Salient points regarding tuberculosis screening in internationally adopted patients are also addressed.

    View details for DOI 10.1097/INF.0b013e31819c6bfb

    View details for Web of Science ID 000268533000023

    View details for PubMedID 19633525

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