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Acute Urinary Retention due to Aseptic Meningitis: Meningitis-Retention Syndrome
Tae-Wan Kim1, Jin-Chul Whang, Soo-Hyeong Lee
1Department of Urology, National Medical Center, Seoul, Korea.
Abstract:
Acute urinary retention in aseptic meningitis is rarely encountered, and the diagnosis of aseptic meningitis may be less than straightforward, because its symptoms and neurological signs are occasionally mild or absent. We report a case in which acute urinary retention provided an appropriate indication for the diagnosis of aseptic meningitis as the cause of an undiagnosed fever.
Insights
Acute urinary retention is a rare indicator of aseptic meningitis. This case highlights how urinary retention can prompt diagnosis of aseptic meningitis in patients with unexplained fever.
Area of Science:
- Neurology
- Urology
Background:
- Aseptic meningitis diagnosis can be challenging due to subtle or absent neurological signs.
- Acute urinary retention is an uncommon presentation of aseptic meningitis.
Purpose of the Study:
- To report a case where acute urinary retention served as a key diagnostic indicator for aseptic meningitis.
- To emphasize the importance of considering aseptic meningitis in undiagnosed fever with urinary retention.
Main Methods:
- Case report presentation.
- Clinical diagnosis of aseptic meningitis.
Main Results:
- Acute urinary retention was the primary symptom leading to the diagnosis.
- Aseptic meningitis was identified as the cause of the patient's undiagnosed fever.
Conclusions:
- Acute urinary retention can be a crucial, albeit rare, sign of aseptic meningitis.
- This presentation underscores the need for a broad differential diagnosis in febrile patients with urinary retention.
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