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Meningitis-Retention Syndrome as an Unrecognized Clinical Condition in Indian Scenario: Fall Through the Cracks
Gaurang K Gheewala1, Deval U Surana2, Anil Patel3
1Neurology, Gheewala Neuro Clinic, Surat, IND.
Abstract:
Meningitis-retention syndrome (MRS) is a recently recognized condition marked by the concurrent occurrence of aseptic meningitis with acute urinary retention. We present the case of a 22-year-old man who presented with an undiagnosed fever with headache and urinary retention. Subsequent urodynamic testing revealed an underactive detrusor, resulting in insufficient contraction of the bladder during voiding despite normal sensation during bladder filling. Normal urinary voiding was successfully restored without the need for treatment within a 30-day timeframe. It is crucial to include MRS in the differential diagnosis of acute urinary retention. It is crucial to include MRS in the differential diagnosis of acute urinary retention. Despite the generally benign and self-remitting nature of MRS, the management of acute urinary retention is necessary.
Insights
Meningitis-retention syndrome (MRS) is a rare condition causing aseptic meningitis and urinary retention. This case highlights its self-remitting nature, emphasizing the need for MRS consideration in diagnosing urinary retention.
Area of Science:
- Neurology
- Urology
Background:
- Meningitis-retention syndrome (MRS) is a newly identified condition.
- It involves aseptic meningitis co-occurring with acute urinary retention.
Observation:
- A 22-year-old male presented with fever, headache, and urinary retention.
- Urodynamic testing showed an underactive detrusor with normal bladder sensation.
Findings:
- The patient's normal urinary voiding was restored spontaneously within 30 days.
- MRS is generally benign and self-remitting.
Implications:
- MRS should be included in the differential diagnosis for acute urinary retention.
- While often self-limiting, acute urinary retention management is crucial in MRS cases.
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