From the ∗Department of Medicine

†Division of Infectious Diseases and Geographic Medicine, Saint Vincent Hospital

‡University of Massachusetts Medical School, Worcester, MA

§American College of Physicians (ACP), Philadelphia, PA.

Correspondence to: Arunava Saha, MD, Department of Medicine, Saint Vincent Hospital, Worcester, 123 Summer St, Worcester, MA 01604. E-mail: [email protected]/[email protected].

The authors have no funding or conflicts of interest.