[1] George Washington Univ, Med Ctr, Sch Med, Dept Microbiol Immunol & Trop Med, Washington, DC 20037 USA
[2] Cornell Univ, Coll Vet Med, Ithaca, NY 14853 USA
[3] George Washington Univ, Dept Phys, Washington, DC 20037 USA
[4] Eastern Virginia Med Sch, CONRAD, Arlington, VA 22209 USA