Artículo de revista
Síndrome de meningitis y retención urinaria
Fecha
2014Registro en:
Rev Med Chile 2014; 142: 1607-1611
07176163
00349887
10.4067/S0034-98872014001200015
Autor
Cartier Rovirosa, Luis
Hansen B., Fernando
Institución
Resumen
The Meningitis-Retention Syndrome associates aseptic meningitis and
neurogenic bladder, with a vesical dysfunction that outlasts meningitis widely.
Urodynamic assessment shows a detrusor palsy with normal function of the
external sphincter. We report a 24-year-old male admitted for headache, fever,
myalgias and acute urinary retention, which was diagnosed as a urinary tract
infection. Worsening of symptoms and slight meningeal signs prompted for a
lumbar puncture that yielded a cerebrospinal fluid with 94 lymphocytes, in
which etiological evaluation was inconclusive. Meningeal syndrome and myalgia
subsided by the fifth day, while urinary retention persisted. A magnetic resonance
imaging of the brain and spinal cord done at the fifth day, showed high intensity
signals in basal ganglia and central spinal cord, not altered by contrast. These
images disappeared in the imaging control performed two months later. Bladder
dysfunction lasted at least until the second month of follow up.