Epstein–Barr Virus-induced Meningitis-Retention Syndrome
  • Morika Suzuki
    Department of General Internal Medicine, National Hospital Organization Sendai Medical Center, Miyagi, Japan
  • Genya Watanabe
    Department of General Neurology, National Hospital Organization Sendai Medical Center, Miyagi, Japan
  • Takashi Watari
    Postgraduate Clinical Training Centre, Shimane University Hospital, Shimane, Japan


Meningitis-retention syndrome, aseptic meningitis, acute urinary retention, Epstein–Barr virus


Meningitis-retention syndrome (MRS) is a rare disorder where aseptic meningitis is accompanied by urinary retention, which can be easily misdiagnosed as urinary tract infection. We present the case of a 55-year-old man with fever and dysuria. At the time of hospitalization, the patient had no symptoms of meningitis, but signs of meningeal irritation appeared later during the course of the disease. Investigation revealed that this was a case of MRS due to Epstein–Barr virus. We have to consider MRS when examining patients with fever and urinary retention, as dysuria may precede meningitis symptoms.



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    Published: 2020-12-04
    Issue: 2020: Vol 7 No 12 (view)

    How to cite:
    Suzuki M, Watanabe G, Watari T. Epstein–Barr Virus-induced Meningitis-Retention Syndrome. EJCRIM 2020;7 doi:10.12890/2020_002133.