Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
Acute Urinary Retention as an Unusual Manifestation of Aseptic Meningitis
Takahiro ZENDARyuichirou SOMAHiroaki MURAMOTOHideo HAYASEMatsuo ORITOToshihide OKADAHiroshi MABUCHISoichi OKINO
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2002 Volume 41 Issue 5 Pages 392-394


A formerly healthy 32-year-old woman was hospitalized for a closer examination of undiagnosed fever with mild headache. Despite lack of distinct findings on physical and laboratory examinations at admission, she suddenly developed anuresis due to acontractile neurogenic bladder. On the basis of her symptoms and the faint nuchal rigidity revealed later, as well as the results of cerebrospinal fluid analyses, a diagnosis of aseptic meningitis was eventually reached. While aseptic meningitis subsided within 3 weeks, about 10 weeks, including a 26-day period of anuria, was necessary for complete restoration of normal voiding function, necessitating intermittent self-catheterization. Acute urinary retention should be considered an uncommon but critical manifestation of aseptic meningitis.
(Internal Medicine41: 392-394, 2002)

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