{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T13:43:28Z","timestamp":1762004608646},"reference-count":2,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2014,5,18]],"date-time":"2014-05-18T00:00:00Z","timestamp":1400371200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Neuroimaging"],"published-print":{"date-parts":[[2015,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>We report the clinical and neuroimaging findings of an immunocompetent patient with concurrent pneumococcal and West Nile virus meningoencephalitis with relapsing clinical course despite a full course of antibiotic treatment. The patient developed acute oculomotor nerve palsy with pupillary involvement and bilateral hearing loss, and delayed right leg monoparesis. We speculate that coexisting bacterial and viral neuroinvasive infections contributed to the unusual clinical and imaging manifestations, and that overwhelming laboratory and clinical features of bacterial meningitis masked the typical features of CNS viral infection. Therefore, atypical presentations of bacterial meningitis should raise a high index of suspicion for coexisting infections, even in immunocompetent patients, and evolving neuroimaging findings may be helpful in substantiating clinical suspicion and guiding further management.<\/jats:p>","DOI":"10.1111\/jon.12125","type":"journal-article","created":{"date-parts":[[2014,5,18]],"date-time":"2014-05-18T11:53:20Z","timestamp":1400414000000},"page":"312-315","source":"Crossref","is-referenced-by-count":6,"title":["Concurrent West Nile Virus Infection in Pneumococcal Meningitis: Clinical and MRI Features"],"prefix":"10.1111","volume":"25","author":[{"given":"Gabriella","family":"Szatmary","sequence":"first","affiliation":[{"name":"Hattiesburg Clinic PA \u2013 Neurology  Hattiesburg MS"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. Arturo","family":"Leis","sequence":"additional","affiliation":[{"name":"Center for Neuroscience and Neurological Recovery Methodist Rehabilitation Center  Jackson MS"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,5,18]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00234-005-1423-3"},{"issue":"2","key":"e_1_2_5_3_1","first-page":"289","article-title":"West nile virus infection: MR imaging findings in the nervous system","volume":"26","author":"Ali M","year":"2005","journal-title":"AJNR Am J Neuroradiol."}],"container-title":["Journal of Neuroimaging"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjon.12125","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjon.12125","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jon.12125","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,28]],"date-time":"2023-09-28T19:36:42Z","timestamp":1695929802000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jon.12125"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,5,18]]},"references-count":2,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2015,3]]}},"alternative-id":["10.1111\/jon.12125"],"URL":"https:\/\/doi.org\/10.1111\/jon.12125","archive":["Portico"],"relation":{},"ISSN":["1051-2284","1552-6569"],"issn-type":[{"value":"1051-2284","type":"print"},{"value":"1552-6569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,5,18]]}}}