Nondominant Hemisphere Encephalitis in Patient with Signs of Viral Meningitis, New York, USA

1320 Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 15, No. 8, August 2009 ed in 7 patients; 5 were co-infected with HBoV (2 patients had LRTIs, 2 had upper respiratory tract infections, and 1 had undefined symptoms), and 2 were co-infected with RSV (both patients had symptoms of LRTIs). Of the other 3 patients co-infected with HRV and HBoV, 1 was infected with HRV-B (had LRTI), 1 with HRV-C (had LRTI), and 1 with an untypeable HRV (had undefined symptoms). Coinfections with HRV and RSV (4,5) and HRV and HBoV (4) have been reported. Although the clinical role of these co-infections needs to be clarified, these studies suggest that co-infections may result in more severe disease symptoms. The role of HRV-C in causing illness among the children of Singapore will require further study.