尿閉をきたした無菌性髄膜炎の2例

Abstract

症例1:13歳男, 無菌性髄膜炎で当院小児科に入院した.入院後8日目に尿閉状態となり当科を受診した.無緊張型神経因性膀胱を認めた.症例2:18歳女, 高熱, 頭痛, 嘔吐, 尿閉を訴え当科を受診した.神経内科の併診により髄膜炎が疑われ入院となった.脳脊髄液の検査と膀胱内圧測定によりそれぞれ無菌性髄膜炎と診断され, 無緊張型神経因性膀胱を認めた.両例とも塩化ベタネコール内服と自己導尿により膀胱機能は数週間後に改善した

We report two rare cases of urinary retention secondary to aseptic meningitis. Case I was in a 13-year-old boy admitted to the pediatric department due to aseptic meningitis. Eight days after his admission, urinary retention developed and cystometry showed atonic bladder. Case 2 was in a 18-year-old woman consulted the urological department with a chief complaint of urinary retention accompanied with high fever, headache and vomiting. The spinal fluid examination and cystometry revealed aseptic meningitis and atonic bladder, respectively. In both cases, the patients were treated with conservative therapy and bladder dysfunction was resolved after a few weeks. Eleven cases of urinary retention secondary to aseptic meningitis have been reported in the previous literature.