Aseptic Meningitis with Urinary Retention: A Case Report
Introduction. Aseptic meningitis is serious inflammation of the meninges caused by agents including viruses, non-viral pathogens, non-infectious conditions and chemicals. Case Presentation. This study concerns the case of a 16-year-old healthy Greek female with persistent fever, mild headache and ac...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2011/741621 |
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| author | Fotinie Ntziora Aristidis Alevizopoulos Kostas Konstantopoulos Sofia Kanellopoulou Dimitrios Bougas Konstantinos Stravodimos |
| author_facet | Fotinie Ntziora Aristidis Alevizopoulos Kostas Konstantopoulos Sofia Kanellopoulou Dimitrios Bougas Konstantinos Stravodimos |
| author_sort | Fotinie Ntziora |
| collection | DOAJ |
| description | Introduction. Aseptic meningitis is serious inflammation of the meninges caused by agents including viruses, non-viral pathogens, non-infectious conditions and chemicals. Case Presentation. This study concerns the case of a 16-year-old healthy Greek female with persistent fever, mild headache and acute urinary retention, secondary to aseptic meningitis. Physical examination revealed no distinct signs of meningeal irritation. The urinary bladder was palpable, painless and over-distended. Serology carried out for common viruses was as follows: CMV IgG (−), CMV IgM (−), HSV IgG (−), HSV IgM (+), VZ IgG (+), VZ IgM (−), EBV IgG (−) and EBV IgM (+). During recovery in hospital, three trials of removing a urinary catheter were carried out; during the first two attempts the patient was unable to urinate and had a loss of bladder sensation. On the third attempt the patient had modest bladder perception but she left a post-voiding residual, and was instructed to perform bladder self-catheterization. Seven days after being discharged the patient underwent a full recovery. Conclusion. There are few reports concerning aseptic meningitis together with acute urinary retention. A number of these cases concern so-called “meningitis-retention syndrome,” which implies an underlying CNS mechanism, while others concerned an underlying peripheral nervous system mechanism. |
| format | Article |
| id | doaj-art-e7bb4021625841da87fff6c9f502381a |
| institution | OA Journals |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-e7bb4021625841da87fff6c9f502381a2025-08-20T02:22:15ZengWileyCase Reports in Medicine1687-96271687-96352011-01-01201110.1155/2011/741621741621Aseptic Meningitis with Urinary Retention: A Case ReportFotinie Ntziora0Aristidis Alevizopoulos1Kostas Konstantopoulos2Sofia Kanellopoulou3Dimitrios Bougas4Konstantinos Stravodimos51st Academic Department of Medicine, Laiko General Hospital, Medical School, University of Athens, 11527 Athens, Greece1st Academic Department of Urology, Laiko General Hospital, Medical School, University of Athens, 11527 Athens, Greece1st Academic Department of Medicine, Laiko General Hospital, Medical School, University of Athens, 11527 Athens, Greece1st Academic Department of Medicine, Laiko General Hospital, Medical School, University of Athens, 11527 Athens, Greece1st Academic Department of Urology, Laiko General Hospital, Medical School, University of Athens, 11527 Athens, Greece1st Academic Department of Urology, Laiko General Hospital, Medical School, University of Athens, 11527 Athens, GreeceIntroduction. Aseptic meningitis is serious inflammation of the meninges caused by agents including viruses, non-viral pathogens, non-infectious conditions and chemicals. Case Presentation. This study concerns the case of a 16-year-old healthy Greek female with persistent fever, mild headache and acute urinary retention, secondary to aseptic meningitis. Physical examination revealed no distinct signs of meningeal irritation. The urinary bladder was palpable, painless and over-distended. Serology carried out for common viruses was as follows: CMV IgG (−), CMV IgM (−), HSV IgG (−), HSV IgM (+), VZ IgG (+), VZ IgM (−), EBV IgG (−) and EBV IgM (+). During recovery in hospital, three trials of removing a urinary catheter were carried out; during the first two attempts the patient was unable to urinate and had a loss of bladder sensation. On the third attempt the patient had modest bladder perception but she left a post-voiding residual, and was instructed to perform bladder self-catheterization. Seven days after being discharged the patient underwent a full recovery. Conclusion. There are few reports concerning aseptic meningitis together with acute urinary retention. A number of these cases concern so-called “meningitis-retention syndrome,” which implies an underlying CNS mechanism, while others concerned an underlying peripheral nervous system mechanism.http://dx.doi.org/10.1155/2011/741621 |
| spellingShingle | Fotinie Ntziora Aristidis Alevizopoulos Kostas Konstantopoulos Sofia Kanellopoulou Dimitrios Bougas Konstantinos Stravodimos Aseptic Meningitis with Urinary Retention: A Case Report Case Reports in Medicine |
| title | Aseptic Meningitis with Urinary Retention: A Case Report |
| title_full | Aseptic Meningitis with Urinary Retention: A Case Report |
| title_fullStr | Aseptic Meningitis with Urinary Retention: A Case Report |
| title_full_unstemmed | Aseptic Meningitis with Urinary Retention: A Case Report |
| title_short | Aseptic Meningitis with Urinary Retention: A Case Report |
| title_sort | aseptic meningitis with urinary retention a case report |
| url | http://dx.doi.org/10.1155/2011/741621 |
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