Meningitis retention syndrome caused by varicella zoster virus in a patient without a rash: a case report

Background 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. Case presentation 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. Conclusion 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..

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:21

Enthalten in:

BMC infectious diseases - 21(2021), 1 vom: 23. Sept.

Sprache:

Englisch

Beteiligte Personen:

Kenzaka, Tsuneaki [VerfasserIn]
Goda, Ken [VerfasserIn]
Kumabe, Ayako [VerfasserIn]

Links:

Volltext [kostenfrei]

Themen:

Acute urinary retention
Lower limb dysesthesia
Meningitis retention syndrome
Varicella zoster virus
Zoster sine herpete

Anmerkungen:

© The Author(s) 2021

doi:

10.1186/s12879-021-06692-6

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC212787529X