[1] Yokohama City Univ, Sch Med, Dept Bacteriol, Yokohama, Kanagawa 232, Japan
[2] Yokohama City Univ, Sch Med, Dept Pathol, Yokohama, Kanagawa 232, Japan
[3] Karolinska Inst, Ctr Microbiol & Tumor Biol, Stockholm, Sweden
[4] Karolinska Inst, Swedish Inst Infect Dis Control, Stockholm, Sweden