[1] Univ Virginia, Sch Med, Hlth Sci Ctr, Dept Internal Med,Div Rheumatol & Immunol, Charlottesville, VA 22908 USA
[2] Univ Virginia, Sch Med, Dept Microbiol, Charlottesville, VA 22908 USA
[3] Virginia Commonwealth Univ, Dept Pediat, Richmond, VA 23298 USA