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Epstein-Barr Virus-induced Meningitis-Retention Syndrome

Morika Suzuki1, Genya Watanabe2, Takashi Watari3

  • 1Department of General Internal Medicine, National Hospital Organization Sendai Medical Center, Miyagi, Japan.

European Journal of Case Reports in Internal Medicine
|January 18, 2021
PubMed

Insights

Meningitis-retention syndrome (MRS), a rare condition causing aseptic meningitis and urinary retention, can be mistaken for a urinary tract infection. Early consideration of MRS is crucial in patients with fever and urinary issues, as bladder symptoms may appear before meningitis signs.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Urology

Background:

  • Meningitis-retention syndrome (MRS) is a rare condition characterized by aseptic meningitis and urinary retention.
  • MRS is often misdiagnosed as a urinary tract infection due to overlapping symptoms like dysuria.
  • Prompt diagnosis and management are essential to prevent complications.

Purpose of the Study:

  • To highlight the clinical presentation of Meningitis-retention syndrome (MRS).
  • To emphasize the importance of considering MRS in patients presenting with fever and urinary retention.
  • To report a case of MRS associated with Epstein-Barr virus.

Main Methods:

  • Case report of a 55-year-old male patient.
  • Clinical evaluation including assessment of fever, dysuria, and signs of meningeal irritation.
  • Diagnostic investigations to identify the underlying cause, including Epstein-Barr virus testing.

Main Results:

  • The patient presented with fever and dysuria, initially mimicking a urinary tract infection.
  • Meningeal irritation signs developed later in the disease course.
  • Epstein-Barr virus was identified as the causative agent for MRS in this case.

Conclusions:

  • Meningitis-retention syndrome (MRS) requires consideration in patients with unexplained fever and urinary retention.
  • Dysuria can be an early symptom preceding overt meningitis in MRS.
  • Epstein-Barr virus is a potential complicating factor in MRS.
Keywords:
Epstein-Barr virusMeningitis-retention syndromeacute urinary retentionaseptic meningitis

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