Meningitis-Retention Syndrome as a Presentation of West Nile Virus Meningitis | Zendy

Charoen Mankongpaisarnrung | Zendy; Pavis Laengvejkal | Zendy; Erwin Argueta | Zendy; Chok Limsuwat | Zendy; Grerk Sutamtewagul | Zendy; Kenneth Nugent | Zendy

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Meningitis-Retention Syndrome as a Presentation of West Nile Virus Meningitis

Author(s) -

Charoen Mankongpaisarnrung,

Pavis Laengvejkal,

Erwin Argueta,

Chok Limsuwat,

Grerk Sutamtewagul,

Kenneth Nugent

Publication year - 2013

Publication title -

case reports in medicine

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.2

H-Index - 20

eISSN - 1687-9627

pISSN - 1687-9635

DOI - 10.1155/2013/984345

Subject(s) - medicine , meningitis , urinary retention , aseptic meningitis , cerebrospinal fluid , hyperreflexia , serology , magnetic resonance imaging , urinary system , viral meningitis , surgery , bacterial meningitis , radiology , immunology , antibody

A 26-year-old previously healthy man presented with fever, urinary retention, nuchal rigidity, and hyperreflexia but with a clear sensorium. His initial spinal fluid results were consistent with aseptic meningitis from West Nile virus infection, and this was confirmed by serological studies on blood and cerebrospinal fluid. Computed tomography and magnetic resonance imaging studies were unremarkable. He received supportive care and urinary catheterization to prevent bladder injury from overdistension. He was discharged home without recurrence of urinary retention after five days of hospitalization. Therefore, this case report describes the first case of West Nile virus meningitis in a patient with the meningitis-retention syndrome.

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