{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T13:31:51Z","timestamp":1781703111320,"version":"3.54.5"},"reference-count":18,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2025,5,28]],"date-time":"2025-05-28T00:00:00Z","timestamp":1748390400000},"content-version":"vor","delay-in-days":27,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5,28]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Acute bacterial meningitis (ABM) remains a common disease, especially in developing countries. Although morbidity and mortality have improved with advances in medicine, significant neurologic complications of meningitis still occur. Delayed cerebral vasculopathy (DCV) is a unique complication following ABM leading to ischemic strokes and poor functional outcomes. We describe a case of a 66-year-old man with repeated acute infarcts from DCV due to ABM, notably in the absence of empiric dexamethasone treatment, which was not administered as meningitis was diagnosed post-antibiotic initiation. New areas of acute ischemia were noted on repeat imaging on days 6, 24, and 30 of admission. Vascular imaging revealed multifocal vascular stenosis, consistent with vasospasm that was successfully treated with Milrinone.<\/jats:p>","DOI":"10.1093\/omcr\/omaf051","type":"journal-article","created":{"date-parts":[[2025,5,28]],"date-time":"2025-05-28T14:09:29Z","timestamp":1748441369000},"source":"Crossref","is-referenced-by-count":1,"title":["Delayed cerebral vasculopathy following pneumococcal meningitis: a case report"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4884-1891","authenticated-orcid":false,"given":"Mohammad","family":"Aladawi","sequence":"first","affiliation":[{"name":"Department of Neurology, University of Alabama Medical Center , 1813 6th Avenue South, RWUH M226, Birmingham, AL 35294 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Elfil","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Miami\/Jackson Health System , 1501 NW 9th Ave, Miami, FL 33101 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pashayar","family":"Lookian","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Nebraska Medical Center , 139 S 40th St, Omaha, NE 68131 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zaid","family":"Najdawi","sequence":"additional","affiliation":[{"name":"Department of Neurological Sciences, University of Nebraska Medical Center , 619 S 42nd St, Omaha, NE 68198 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahmoud A","family":"Fayed","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Mansoura University Hospital , 60 El Gomhoureya Street, Mansoura 35516 ,","place":["Egypt"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edson","family":"DeOliveira","sequence":"additional","affiliation":[{"name":"Department of Neurology, Indiana University School of Medicine , 355 W. 16th Street Goodman Hall Suite 4700, Indianapolis, IN 46202 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Phillips","sequence":"additional","affiliation":[{"name":"Department of Neurological Sciences, University of Nebraska Medical Center , 619 S 42nd St, Omaha, NE 68198 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,5,28]]},"reference":[{"key":"2025052810092339000_ref1","doi-asserted-by":"publisher","first-page":"813","DOI":"10.1016\/S1473-3099(14)70805-9","article-title":"Epidemiology of bacterial meningitis in the USA from 1997 to 2010: a population-based observational study","volume":"14","author":"Castelblanco","year":"2014","journal-title":"Lancet Infect Dis"},{"key":"2025052810092339000_ref2","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1016\/j.ijid.2020.06.005","article-title":"Delayed cerebral vasculopathy in pneumococcal meningitis: epidemiology and clinical outcome. 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