Department of Internal Medicine, Hyogo Prefectural Tamba Medical Center, Tanba, Japan.
Division of Community Medicine and Career Development, Kobe University Graduate School of Medicine, 2-1-5, Arata-cho, Hyogo-ku, Kobe, Hyogo, 652-0032, Japan.
BMC Infect Dis. 2021 Sep 23;21(1):996. doi: 10.1186/s12879-021-06692-6.
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.
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.
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.
脑膜炎后尿潴留综合征（MRS）是一种罕见的疾病，以无菌性脑膜炎的并发症急性尿潴留为特征。无皮疹的水痘带状疱疹病毒（VZV）感染引起的 MRS 病例较为罕见。我们报告了一例无脑膜炎或 VZV 感染迹象（包括皮疹）的患者病例。
一名 58 岁男性因下肢感觉异常和急性尿潴留就诊。他有发热但无皮疹，也没有脑膜炎的迹象。根据脑脊液中 VZV DNA 的检测，他被诊断为 VZV 感染。他对静脉用阿昔洛韦治疗反应良好，在 2 年的随访期间没有后遗症。
即使没有特定的脑膜炎体征和症状或提示性皮疹，也应考虑病毒性无菌性脑膜炎引起的 MRS 作为急性尿潴留的鉴别诊断。
