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Published on: December 4, 2020

Acute urinary retention as an unusual manifestation of aseptic meningitis

Takahiro Zenda1, Ryuichirou Soma, Hiroaki Muramoto

  • 1Department of Internal Medicine, Kanazawa Social Insurance Hospital.

Internal Medicine (Tokyo, Japan)
|June 13, 2002
PubMed

A formerly healthy 32-year-old woman was hospitalized for a closer examination of undiagnosed fever with mild headache. Despite lack of distinct findings on physical and laboratory examinations at admission, she suddenly developed anuresis due to acontractile neurogenic bladder. On the basis of her symptoms and the faint nuchal rigidity revealed later, as well as the results of cerebrospinal fluid analyses, a diagnosis of aseptic meningitis was eventually reached. While aseptic meningitis subsided within 3 weeks, about 10 weeks, including a 26-day period of anuria, was necessary for complete restoration of normal voiding function, necessitating intermittent self-catheterization. Acute urinary retention should be considered an uncommon but critical manifestation of aseptic meningitis.

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