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一份独特的病例报告揭示了难以捉摸的脑膜炎潴留综合征临床现象。

A unique case report revealing the elusive clinical phenomenon of meningitis retention syndrome.

作者信息

Gupta Sajal, Raj K Kishan, Adiga K Prashanth

机构信息

Department of Urology & Renal Transplantation, Father Muller Medical College, Mangalore, Karnataka, 575002, India.

出版信息

Urol Case Rep. 2024 Nov 15;57:102885. doi: 10.1016/j.eucr.2024.102885. eCollection 2024 Nov.

Abstract

Meningitis retention syndrome (MRS) represents a rare condition in which there is meningitis accompanied by urinary retention in the absence of any other neurological symptoms. MRS is usually misdiagnosed as a urinary tract infection due to varied clinical symptoms. It is a self-limiting syndrome that often presents with prodromal symptoms of meningitis. We report a case of MRS in a 26-year-old Indian male who presented clinically with features of meningitis and developed urinary retention during hospitalisation. Fewer than 30 cases have been described and several of them remain undiagnosed due to lack of diagnostic criteria. Any patient with fever and headache which are prodromal symptoms of meningitis followed by retention should be evaluated for MRS.

摘要

脑膜炎潴留综合征(MRS)是一种罕见的病症,即存在脑膜炎并伴有尿潴留,且无任何其他神经症状。由于临床症状多样,MRS通常被误诊为尿路感染。它是一种自限性综合征,常伴有脑膜炎的前驱症状。我们报告一例26岁印度男性的MRS病例,该患者临床上表现出脑膜炎特征,并在住院期间出现尿潴留。目前报道的病例少于30例,其中一些由于缺乏诊断标准而仍未得到诊断。任何出现脑膜炎前驱症状发热和头痛随后出现尿潴留的患者都应接受MRS评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70c1/11632747/8ce21c29fcc8/gr1.jpg

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