Meningitis retention syndrome

Krishna, Amresh; Devulapally, Pavan; Ghobrial, Ibrahim

doi:10.3402/jchimp.v2i1.15761

Cited by 13 publications

(4 citation statements)

References 5 publications

(7 reference statements)

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“…15 Symptoms usually remit within several weeks, although antiviral treatment may shorten the symptomatic period. 16 Recurrence of symptoms has been reported. 17 Varicella-zoster virus.…”

Section: Herpes Virusesmentioning

confidence: 96%

Peripheral Nervous System Manifestations of Infectious Diseases

Brizzi

Lyons

2014

The Neurohospitalist

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Infectious causes of peripheral nervous system (PNS) disease are underrecognized but potentially treatable. Heightened awareness educed by advanced understanding of the presentations and management of these infections can aid diagnosis and facilitate treatment. In this review, we discuss the clinical manifestations, diagnosis, and treatment of common bacterial, viral, and parasitic infections that affect the PNS. We additionally detail PNS side effects of some frequently used antimicrobial agents.

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“…15 Symptoms usually remit within several weeks, although antiviral treatment may shorten the symptomatic period. 16 Recurrence of symptoms has been reported. 17 Varicella-zoster virus.…”

Section: Herpes Virusesmentioning

confidence: 96%

Peripheral Nervous System Manifestations of Infectious Diseases

Brizzi

Lyons

2014

The Neurohospitalist

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“…Given the concurrent urinary voiding difficulty and aseptic meningitis, a definite diagnosis of MRS is made. CSF adenosine deaminase (ADA) levels in non-infectious neurological diseases do not commonly increase, as seen in our case [6]. The absence of leg numbness and paresthesias also aids in distinguishing MRS from polyneuropathies, Guillain-Barre syndrome, and disorders affecting the lower motor neurons [4].…”

Section: Discussionmentioning

confidence: 52%

Meningitis-Retention Syndrome as an Unrecognized Clinical Condition in Indian Scenario: Fall Through the Cracks

Gheewala,

Surana,

Patel

et al. 2024

Cureus

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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.

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“…To the best of our knowledge, only one previous case of VZV meningitis without a rash that led to MRS has been reported [5]. The mechanism of MRS is presumed to include spinal shock owing to meningeal irritation, inflammation of upper motor neurons of the spinal cord, direct viral entry, and onset of acute disseminated encephalomyelitis after viral infection [13].…”

Section: Discussionmentioning

confidence: 99%

Meningitis retention syndrome caused by varicella zoster virus in a patient without a rash: a case report

2021

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Background Meningitis retention syndrome (MRS) is a rare condition that presents with acute urinary retention as a complication of aseptic meningitis. Cases of MRS due to varicella zoster virus (VZV) infection without a rash are rare. We report the case of a patient who had no signs of meningitis or VZV infection, including a rash. Case presentation A 58-year-old man presented with dysesthesia of the lower limbs and acute urinary retention. He had fever but no rash and no signs of meningitis. He was diagnosed to have VZV infection based on the detection of VZV DNA in the cerebrospinal fluid. He responded satisfactorily to a course of intravenous acyclovir and experienced no sequelae during a 2-year follow-up period. Conclusion MRS due to aseptic meningitis of viral origin should be considered in the differential diagnosis of acute urinary retention even in the absence of specific signs and symptoms of meningitis or a suggestive rash.

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Meningitis retention syndrome

Cited by 13 publications

References 5 publications

Peripheral Nervous System Manifestations of Infectious Diseases

Peripheral Nervous System Manifestations of Infectious Diseases

Meningitis-Retention Syndrome as an Unrecognized Clinical Condition in Indian Scenario: Fall Through the Cracks

Meningitis retention syndrome caused by varicella zoster virus in a patient without a rash: a case report

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