1 Section of Infectious Diseases and Critical Care Medicine, Department of Internal Medicine, Brody School of Medicine, East Carolina University, Greenville, NC; Section of Infectious Diseases, Department of Internal Medicine, Brody School of Medicine, East Carolina University, Greenville, NC; Section of Pulmonary, Critical Care, and Sleep Medicine, Department of Internal Medicine, Brody School of Medicine, East Carolina University, Greenville, NC.