爱泼斯坦-巴尔病毒引起的脑膜炎-潴留综合征
Epstein-Barr Virus-induced Meningitis-Retention Syndrome.
作者信息
Suzuki Morika, Watanabe Genya, Watari Takashi
机构信息
Department of General Internal Medicine, National Hospital Organization Sendai Medical Center, Miyagi, Japan.
Department of General Neurology, National Hospital Organization Sendai Medical Center, Miyagi, Japan.
出版信息
Eur J Case Rep Intern Med. 2020 Dec 4;7(12):002133. doi: 10.12890/2020_002133. eCollection 2020.
UNLABELLED
Meningitis-retention syndrome (MRS) is a rare disorder where aseptic meningitis is accompanied by urinary retention, which can be easily misdiagnosed as urinary tract infection. We present the case of a 55-year-old man with fever and dysuria. At the time of hospitalization, the patient had no symptoms of meningitis, but signs of meningeal irritation appeared later during the course of the disease. Investigation revealed that this was a case of MRS due to Epstein-Barr virus. We have to consider MRS when examining patients with fever and urinary retention, as dysuria may precede meningitis symptoms.
LEARNING POINTS
Meningitis-retention syndrome (MRS) is a rare disorder where aseptic meningitis is accompanied by urinary retention, which can be easily misdiagnosed as urinary tract infection.MRS should be considered when examining patients with fever and urinary retention, as dysuria may precede the meningitis symptoms.The presence of Epstein-Barr virus can also complicate MRS.
未标注
脑膜炎-潴留综合征（MRS）是一种罕见疾病，无菌性脑膜炎伴有尿潴留，很容易被误诊为尿路感染。我们报告一例55岁男性发热伴排尿困难的病例。住院时患者没有脑膜炎症状，但在病程后期出现了脑膜刺激征。调查显示这是一例由EB病毒引起的MRS。在检查发热伴尿潴留的患者时我们必须考虑MRS，因为排尿困难可能先于脑膜炎症状出现。
学习要点
脑膜炎-潴留综合征（MRS）是一种罕见疾病，无菌性脑膜炎伴有尿潴留，很容易被误诊为尿路感染。在检查发热伴尿潴留的患者时应考虑MRS，因为排尿困难可能先于脑膜炎症状出现。EB病毒的存在也会使MRS复杂化。
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