[1] Univ Maryland, Sch Med, Dept Med, Div Hosp Epidemiol, Baltimore, MD 21201 USA
[2] Univ Maryland, Sch Med, Dept Pathol, Baltimore, MD 21201 USA
[3] Univ Maryland, Sch Med, Ctr Vaccine Dev, Div Geog Med,Dept Med, Baltimore, MD 21201 USA
[4] Vet Affairs Maryland Hlth Care Syst, Baltimore, MD 21201 USA
[5] SUNY Buffalo, Sch Med & Biomed Sci, Ctr Microbial Pathogenesis, Buffalo, NY 14214 USA
[6] SUNY Buffalo, Sch Med & Biomed Sci, Dept Microbiol, Buffalo, NY 14214 USA