1. a Radford University Carilion (RUC), Roanoke, VA, USA
2. b Carilion Roanoke Community Hospital, Carilion Clinic Basic Science Research Lab (BSRL), Roanoke, VA, USA
3. c Virginia Department of Health (VDH), Richmond, VA, USA
4. d Internal Medicine, Division of Infectious Disease, Carilion Medical Center, Roanoke, VA, USA
5. e Center for Emerging, Zoonotic, and Arthropod-borne Pathogens, Virginia Tech, Blacksburg, VA, USA
6. f Translational Biology, Medicine, and Health, Virginia Tech, Roanoke, VA, USA