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[Two cases of urinary retention secondary to aseptic meningitis]
Y Shimizu1, S Yamamoto, K Inoue
1Department of Urology, Hamamatsu Rosai Hospital.
Insights
Aseptic meningitis can rarely cause urinary retention, leading to an atonic bladder. This condition is treatable with conservative therapy, with bladder function typically resolving within weeks.
Area of Science:
- Neurology
- Urology
- Infectious Diseases
Background:
- Aseptic meningitis is an inflammation of the meninges not caused by bacterial infection.
- Urinary retention is the inability to fully empty the bladder.
- The association between aseptic meningitis and urinary retention is rare.
Observation:
- Two cases of urinary retention secondary to aseptic meningitis are presented.
- Case 1: A 13-year-old boy developed urinary retention with an atonic bladder during aseptic meningitis treatment.
- Case 2: An 18-year-old woman presented with urinary retention, fever, headache, and vomiting, diagnosed with aseptic meningitis and atonic bladder.
Findings:
- Both patients experienced urinary retention and atonic bladder.
- Cystometry confirmed atonic bladder in both cases.
- Conservative therapy led to the resolution of bladder dysfunction in both patients.
Implications:
- Highlights a rare neurological complication of aseptic meningitis.
- Suggests the importance of considering aseptic meningitis in patients with unexplained urinary retention.
- Emphasizes the effectiveness of conservative management for this rare condition.
Abstract:
We report two rare cases of urinary retention secondary to aseptic meningitis. Case I was in a 13-year-old boy admitted to the pediatric department due to aseptic meningitis. Eight days after his admission, urinary retention developed and cystometry showed atonic bladder. Case 2 was in a 18-year-old woman consulted the urological department with a chief complaint of urinary retention accompanied with high fever, headache and vomiting. The spinal fluid examination and cystometry revealed aseptic meningitis and atonic bladder, respectively. In both cases, the patients were treated with conservative therapy and bladder dysfunction was resolved after a few weeks. Eleven cases of urinary retention secondary to aseptic meningitis have been reported in the previous literature.