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Streptococcus pneumoniae Meningitis Presenting with Acute Urinary Retention and Emphysematous Cystitis

Yasushi Mizuno1, Asako Doi, Akiko Endo

  • 1Department of General Internal Medicine, Kobe City Medical Center General Hospital, Japan.

Internal Medicine (Tokyo, Japan)
|August 2, 2016
PubMed

Insights

Acute urinary retention is rarely seen in bacterial meningitis. This case highlights Streptococcus pneumoniae meningitis causing acute urinary retention and emphysematous cystitis in an elderly woman, emphasizing the need for prompt diagnosis and treatment.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Urology

Background:

  • Acute urinary retention (AUR) is occasionally linked to aseptic meningitis (meningitis-retention syndrome).
  • AUR is rarely reported in the context of bacterial meningitis.

Observation:

  • An elderly woman presented with impaired consciousness and abdominal distension.
  • Lumbar puncture confirmed Streptococcus pneumoniae meningitis.
  • Abdominal CT revealed emphysematous cystitis.

Findings:

  • The patient experienced acute urinary retention secondary to pneumococcal meningitis.
  • This rare presentation led to the development of emphysematous cystitis.

Implications:

  • This case underscores that acute urinary retention can be a presenting symptom of pneumococcal meningitis.
  • Early recognition and antibiotic treatment are crucial for favorable outcomes in such complex cases.

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