meningitis retention syndrome

Clicks: 187
ID: 239562
2012
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Abstract
A 50-year-old Caucasian woman presented with signs and symptoms of meningitis preceded by a 3 day history of flu-like symptoms and progressive difficulty with urination. Cerebrospinal Fluid (CSF) analysis was consistent with aseptic meningitis. She was found to have a significant urinary retention secondary to atonic bladder. MRI of the brain and spine were normal and CSF-PCR (polymerase chain reaction) was positive for HSV-2. Urinary retention in the context of meningitis and CSF pleocytosis is known as Meningitis Retention Syndrome (MRS). MRS is a rare but important complication of meningitis most commonly associated with HSV-2. Involvement of central pathways may have a role in the pathogenesis of MRS but this is poorly documented. MRS is different from Elsberg syndrome wherein patients display features of lumbosacral polyradiculitis or radiculomyelitis. Early treatment with antiviral therapy was associated with a favorable outcome in our patient.
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krishna2012journalmeningitis Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Abhishek Krishna;Pavan Devulapally;Ibrahim Ghobrial
Journal Mathematical biosciences
Year 2012
DOI
10.3402/jchimp.v2i1.15761
URL
http://www.jchimp.net/index.php/jchimp/article/view/15761/pdf_1
Keywords
acyclovir polyradiculitis

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