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Aseptic meningitis with urinary retention: a case report
Fotinie Ntziora1, Aristidis Alevizopoulos, Kostas Konstantopoulos
11st Academic Department of Medicine, Laiko General Hospital, Medical School, University of Athens, 11527 Athens, Greece.
Case Reports in Medicine
|November 24, 2011
Summary
Aseptic meningitis can cause acute urinary retention, a rare complication. This case highlights a full recovery after managing bladder dysfunction, suggesting potential neurological mechanisms.
Area of Science:
- Neurology
- Infectious Diseases
Background:
- Aseptic meningitis is meningeal inflammation from various causes.
- Acute urinary retention is a rare but serious complication.
Observation:
- A 16-year-old female presented with fever, headache, and acute urinary retention.
- Physical exam showed no meningeal irritation but a distended bladder.
- Viral serology was positive for Epstein-Barr virus (EBV) and Varicella-Zoster virus (VZ).
Findings:
- The patient experienced temporary loss of bladder sensation and urinary retention.
- Bladder function gradually improved with self-catheterization.
- Full recovery was achieved within seven days post-discharge.
Implications:
- This case contributes to understanding the rare association between aseptic meningitis and acute urinary retention.
- It suggests potential central or peripheral nervous system involvement in meningitis-retention syndrome.
- Highlights the importance of monitoring and managing bladder dysfunction in aseptic meningitis cases.
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