International Journal of Medical Investigation
Thu, Jan 2, 2025
Volume 6, Issue 3 (9-2017)
Int J Med Invest 2017, 6(3): 75-80 |
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Babamahmoodi F, Sheikholeslami R, Mousavi T, Davoodi L. Meningitis retention syndrome: a case report. Int J Med Invest 2017; 6 (3) :75-80
URL: http://intjmi.com/article-1-276-en.html
URL: http://intjmi.com/article-1-276-en.html
Antimicrobial Resistance Research Center, Department of Infectious Diseases, Mazandaran University of Medical Sciences, Sari, Iran.
Abstract: (8641 Views)
Urinary retention is a urologic emergency that is defined by an inability to voluntarily void urine, which can be acute or chronic. Benign inflammatory nervous diseases also cause acute urinary retention, in which patients lack apparent urethral outlet obstruction, but exhibit minor neurological and cerebrospinal fluid (CSF) abnormalities. The development of urinary retention in the context of meningitis and CSF pleocytosis without any lumbosacral radiculomyelitis is known as Meningitis Retention Syndrome (MRS). We report a 24-year-old male with complaints of urine dribbling, fever and also complete urinary retention a few hours later and nausea/vomiting, headache and flank pain. The general and genitalia examinations, routine laboratory tests, diagnostic ultrasound, and brain MRI were normal. But HSV Ab (IgG) and PCR HSV were positive in CSF analysis. Finally, Urologist performed the Urodynamic study and flaccid neurologic bladder was reported due the patient was treated with intravenous acyclovir 500 mg, every eight hours, with the diagnosis of MRS. MRS is a rarely described clinical entity with features of meningitis and acute urinary retention. The most common cause of urinary retention is benign prostatic hyperplasia. Other common causes include prostatitis, cystitis, urethritis, stones, and vulvovaginitis receiving medications in the anticholinergic and alpha-adrenergic agonist classes and cortical, spinal, or peripheral nerve lesions. Since MRS has a benign and self-remitting course, the effectiveness of immune treatments (steroid pulse therapy) remains unclear, although such treatments may shorten the duration of the disease. Management of the acute urinary retention is necessary to avoid renal injury due to hydronephrosis.
Type of Study: case report |
Subject:
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References
1. 1. Ntziora F, Alevizopoulos A, Konstantopoulos K, Kanellopoulou S, Bougas D, Stravodimos K. Aseptic meningitis with urinary retention: a case report. Case reports in medicine. 2011; 2011, 3.
2. Tapiainen T, Prevots R, Izurieta HS, Abramson J, Bilynsky R, Bonhoeffer J, et al. Aseptic meningitis: case definition and guidelines for collection, analysis and presentation of immunization safety data. Vaccine. 2007; 25(31): 5793-802.
3. Tateno F, Sakakibara R, Sugiyama M, Takahashi O, Kishi M, Ogawa E, et al. Meningitis-retention syndrome: first case of urodynamic follow-up. Internal Medicine. 2011; 50(12): 1329-32.
4. Rice P. Viral meningitis and encephalitis. Medicine. 2013; 41(12): 678-82.
5. Fowler C. Short Commentary on “Acute urinary retention due to benign inflammatory nervous diseases” by Sakakibara et al. in J Neurol (2006) 253: 1103–1110. Journal of neurology. 2006; 253(8): 1102.
6. Selius BA, Subedi R. Urinary retention in adults: diagnosis and initial management. American family physician. 2008; 77(5): 643-50.
7. Krishna A, Devulapally P, Ghobrial I. Meningitis retention syndrome. Journal of Community Hospital Internal Medicine Perspectives. 2012; 2(1).
8. Tascilar N, Aydemir H, Emre U, Unal A, Atasoy HT, Ekem S. Unusual combination of reversible splenial lesion and meningitis-retention syndrome in aseptic meningomyelitis. Clinics. 2009; 64(9): 932-7.
9. Sakakibara R, Kishi M, Tsuyusaki Y, Tateno A, Tateno F, Uchiyama T, et al. “Meningitis‐retention syndrome”: A review. Neurourology and urodynamics. 2013; 32(1): 19-23.
10. Sakakibara R, Yamanishi T, Uchiyama T, Hattori T. Acute urinary retention due to benign inflammatory nervous diseases. Journal of neurology. 2006; 253(8): 1103-10.
11. Sakakibara R, Uchiyama T, Liu Z, Yamamoto T, Ito T, Uzawa A, et al. Meningitis–retention syndrome. Journal of neurology. 2005; 252(12): 1495-9.
12. Basoulis D, Mylona M, Toskas P, Tsilingiris D, Fytili C. Meningitis-Retention Syndrome. International neurourology journal. 2015; 19(3): 207.
13. Gayral L. Meningo-radiculite de la queue de cheval et herpes. Encephale. 1953; 42(3): 274-82.
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