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Peer-Reviewed Journal Tracking and Analyzing Disease Trends pages 167–336 EDITOR-IN-CHIEF D. Peter Drotman Managing Senior Editor EDITORIAL BOARD Polyxeni Potter, Atlanta, Georgia, USA Dennis Alexander, Addlestone Surrey, United Kingdom Senior Associate Editor Timothy Barrett, Atlanta, GA, USA Brian W.J. Mahy, Bury St. Edmunds, Suffolk, UK Barry J. Beaty, Ft. Collins, Colorado, USA Associate Editors Martin J. Blaser, New York, New York, USA Paul Arguin, Atlanta, Georgia, USA Christopher Braden, Atlanta, GA, USA Charles Ben Beard, Ft. Collins, Colorado, USA Carolyn Bridges, Atlanta, GA, USA Ermias Belay, Atlanta, GA, USA Arturo Casadevall, New York, New York, USA David Bell, Atlanta, Georgia, USA Kenneth C. Castro, Atlanta, Georgia, USA Corrie Brown, Athens, Georgia, USA Louisa Chapman, Atlanta, GA, USA Charles H. Calisher, Ft. Collins, Colorado, USA Thomas Cleary, Houston, Texas, USA Michel Drancourt, Marseille, France Vincent Deubel, Shanghai, China Paul V. Effl er, Perth, Australia Ed Eitzen, Washington, DC, USA David Freedman, Birmingham, AL, USA Daniel Feikin, Baltimore, MD, USA Peter Gerner-Smidt, Atlanta, GA, USA Kathleen Gensheimer, Cambridge, MA, USA Stephen Hadler, Atlanta, GA, USA Duane J. Gubler, Singapore Nina Marano, Atlanta, Georgia, USA Richard L. Guerrant, Charlottesville, Virginia, USA Martin I. Meltzer, Atlanta, Georgia, USA Scott Halstead, Arlington, Virginia, USA David Morens, Bethesda, Maryland, USA David L. Heymann, London, UK J. Glenn Morris, Gainesville, Florida, USA Charles King, Cleveland, Ohio, USA Patrice Nordmann, Paris, France Keith Klugman, Atlanta, Georgia, USA Tanja Popovic, Atlanta, Georgia, USA Takeshi Kurata, Tokyo, Japan Didier Raoult, Marseille, France S.K. Lam, Kuala Lumpur, Malaysia Pierre Rollin, Atlanta, Georgia, USA Stuart Levy, Boston, Massachusetts, USA Ronald M. Rosenberg, Fort Collins, Colorado, USA John S. MacKenzie, Perth, Australia Dixie E. Snider, Atlanta, Georgia, USA Marian McDonald, Atlanta, Georgia, USA Frank Sorvillo, Los Angeles, California, USA David Walker, Galveston, Texas, USA John E. McGowan, Jr., Atlanta, Georgia, USA David Warnock, Atlanta, Georgia, USA Tom Marrie, Halifax, Nova Scotia, Canada J. Todd Weber, Stockholm, Sweden Philip P. Mortimer, London, United Kingdom Henrik C. Wegener, Copenhagen, Denmark Fred A. Murphy, Galveston, Texas, USA Barbara E. Murray, Houston, Texas, USA Founding Editor P. Keith Murray, Geelong, Australia Joseph E. McDade, Rome, Georgia, USA Stephen M. Ostroff, Harrisburg, Pennsylvania, USA Copy Editors Karen Foster, Thomas Gryczan, Nancy Mannikko, David H. Persing, Seattle, Washington, USA Beverly Merritt, Carol Snarey, P. Lynne Stockton Richard Platt, Boston, Massachusetts, USA Gabriel Rabinovich, Buenos Aires, Argentina Production Ann Jordan, Carole Liston, Shannon O’Connor, Reginald Tucker Mario Raviglione, Geneva, Switzerland David Relman, Palo Alto, California, USA Editorial Assistant Carrie Huntington Connie Schmaljohn, Frederick, Maryland, USA Social Media Sarah Logan Gregory Tom Schwan, Hamilton, Montana, USA Ira Schwartz, Valhalla, New York, USA www.cdc.gov/eid Tom Shinnick, Atlanta, Georgia, USA Emerging Infectious Diseases Emerging Infectious Diseases is published monthly by the Centers for Disease Bonnie Smoak, Bethesda, Maryland, USA Control and Prevention, 1600 Clifton Road, Mailstop D61, Atlanta, GA 30333, Rosemary Soave, New York, New York, USA USA. Telephone 404-639-1960, fax 404-639-1954, email [email protected]. P. Frederick Sparling, Chapel Hill, North Carolina, USA The opinions expressed by authors contributing to this journal do not neces- Robert Swanepoel, Johannesburg, South Africa sarily refl ect the opinions of the Centers for Disease Control and Prevention or Phillip Tarr, St. Louis, Missouri, USA the institutions with which the authors are affi liated. Timothy Tucker, Cape Town, South Africa All material published in Emerging Infectious Diseases is in the public do- Elaine Tuomanen, Memphis, Tennessee, USA main and may be used and reprinted without special permission; proper citation, John Ward, Atlanta, Georgia, USA however, is required. Use of trade names is for identifi cation only and does not imply endorsement Mary E. Wilson, Cambridge, Massachusetts, USA by the Public Health Service or by the U.S. Department of Health and Human Services. ∞ Emerging Infectious Diseases is printed on acid-free paper that meets the requirements of ANSI/NISO 239.48-1992 (Permanence of Paper) Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 17, No. 2, February 2011 February 2011 On the Cover Possible Increased Pathogenicity of Pandemic (H1N1) 2009 Virus Caspar David Friedrich (1774–1840) upon Reassortment ....................................200 The Polar Sea (1824) Oil on canvas (97.8 cm × 128.3 cm) E.J.A. Schrauwen et al. Reassortment with other viruses may result in the Hamburger Kunsthalle, Hamburg, Germany/ emergence of more virulent strains. The Bridgeman Art Library About the Cover p. 331 Reservoirs for Penicillium marneffei Infection in Humans and Rodents, China ............................................................209 C. Cao et al. Genotyping shows sylvatic P. marneffei in bamboo Perspective rats includes strains that also infect humans. Zoonoses in the Bedroom .........................167 Phocine Distemper Virus in Seals, East Coast, United States, 2006 ................215 B.B. Chomel and B. Sun Sleeping with, kissing, or being licked by pets can J.A.P. Earle et al. lead to infection. Virus may persist in the central nervous system. Leptospirosis in Hawaii, 1999–2008 .........221 Synopsis A.R. Katz et al. Recent changes in seasonal occurrence and infecting Hepatitis E Virus and serogroup highlight the need for ongoing surveillance. Neurologic Disorders .................................173 Sequencing of Coccidioides immitis N. Kamar et al. p. 217 Neurologic signs are an emerging extrahepatic Isolated during Cluster Investigation .......227 manifestation. D.M. Engelthaler et al. Next-generation method offers unique benefi ts for Research investigations of clusters possibly linked to 1 source. Human Infections with Non-O157 Shiga Arbovirus Prevalence in Toxin–producing Escherichia coli, Mosquitoes, Kenya .....................................233 Switzerland, 2000–2009..............................180 A.D. LaBeaud et al. U. Käppeli et al. During a 2006–2007 Rift Valley fever virus outbreak, High genetic diversity of strains indicates that p. 251 arbovirus positivity in mosquito pools was high. infections often occur as single cases. Severe Cases of Pandemic (H1N1) Dispatches 2009 in Children, Germany ........................186 242 New Delhi Metallo-β-Lactamase from M. Altmann et al. Traveler Returning to Canada Improved preventive measures are needed. G. Peirano et al. 245 School Closures and Student Contact Risk Factors for Cryptococcus gattii Patterns Infection, British Columbia, Canada .........193 C. Jackson et al. L. MacDougall et al. Infection may be associated with immunosuppressive 248 Unusual Transmission of Plasmodium and pulmonary conditions. falciparum, Bordeaux, France, 2009 M.-O. Vareil et al. Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 17, No. 2, February 2011 251 Transmission of Armillifer armillatus Ova at Snake Farm, The Gambia D. Tappe et al. February 2011 255 Characteristics of Patients with Oseltamivir-Resistant Pandemic Letters (H1N1) 2009, United States S.B. Graitcer et al. 303 Hantavirus Infection in Istanbul, 258 Primary Amebic Meningoencephalitis Turkey Caused by Naegleria fowleri, Pakistan 304 Maternal–Fetal Transmission of S. Shakoor et al. Cryptococcus gattii in Harbor 262 Alert System to Detect Possible Porpoise School-based Outbreaks of Infl uenza- 306 New Delhi Metallo-β-Lactamase, like Illness Ontario, Canada P. Mann et al. 308 Dobrava/Belgrade Virus, Bulgaria 265 New Avian Infl uenza Virus (H5N1) in 309 Chikungunya Virus, Réunion Island, Wild Birds, Qinghai, China 2010 Y. Li et al. 311 Segniliparus rugosus–associated 268 Blastomycosis in Man after Kinkajou p. 269 Bronchiolitis in California Sea Lion Bite J.R. Harris et al. 312 Orbiviruses in Rusa Deer, Mauritius, 2007 271 Novel HIV-1 Recombinant Forms in Antenatal Cohort, Montreal 314 No Xenotropic Murine Leukemia M. Quesnel-Vallières et al. Virus–related Virus Detected in Fibromyalgia Patients 275 Eschar-associated Spotted Fever Rickettsiosis, Bahia, Brazil 315 Streptococcus pyogenes emm44 N. Silva et al. among Homeless Persons, France 279 Pandemic (H1N1) 2009–associated 317 Surface Layer Protein A Variant of Pneumonia in Children, Japan Clostridium diffi cile PCR-Ribotype 027 M. Hasegawa et al. 319 Japanese Encephalitis Virus Genotype I, India 283 Oseltamivir-Resistant Pandemic p. 276 (H1N1) 2009 Virus, Mexico 321 Dengue Virus Serotype 3 Subtype III, J.E. Ramirez-Gonzalez et al. Zhejiang Province, China 287 Comparison of Pandemic (H1N1) 2009 323 Tick-borne Encephalitis Virus and Seasonal Infl uenza Viral Loads, 325 Rickettsia aeschlimannii in Hyalomma Singapore marginatum Ticks, Germany C.K. Lee et al. 326 Dogs as Reservoirs for Leishmania 292 Pandemic (H1N1) 2009, Abu Dhabi, braziliensis (response) United Arab Emirates, 2009–2010 G. Khan et al. 328 Pandemic (H1N1) 2009 and HIV Co-infection (response) 296 Usefulness of Published PCR Primers in Detecting Human Rhinovirus Infection Book Reviews C.E. Faux et al. 329 Avian Infl uenza: Science, Policy and 299 Surveillance for West Nile Virus in Politics Dead Wild Birds, South Korea, 2005– 329 Bacterial Population Genetics in 2008 J.-Y. Yeh et al. Infectious Disease About