title: [Acute disseminated encephalomyelitis presenting as an acute urinary febrile retention].
abstract: BACKGROUND
  MRI should be performed in the presence of an acute febrile urinary retention, when septic and obstructive causes are eliminated. We report a case of post-infectious probable acute disseminated encephalomyelitis (ADEM) with a mostly spinal cord tropism of involving Campylobacter.
  
  
  METHODS
  A 32-year-old man with no medical history was admitted for an acute febrile urinary retention. He reported severe diarrhea 3 days before. Clinical course was then complicated by a progressive tetraparesis predominating in the lower limbs. Medullar MRI showed thoracic myelitis. A five-day course of intravenous corticosteroids allowed a full recovery of both the motor and urinary symptoms. Fecal culture isolated Campylobacter sp. Final diagnosis was post-bacterial ADEM.
  
  
  CONCLUSIONS
  Clinical findings and MRI allow clinicians to suspect acute disseminated encephalomyelitis. This hypothesis implies to actively look for recent infections or vaccinations preceding the clinical presentation.
authors.affiliation: Service de médecine interne et maladies infectieuses, hôpital Pasteur, hôpitaux civils de Colmar, 39, avenue de la Liberté, 68024 Colmar, France. Electronic address: jerome.guison@gmail.com.
authors.forename: J
authors.initials: J
authors.lastname: Guison
authors.affiliation: Service de médecine interne et maladies infectieuses, hôpital Pasteur, hôpitaux civils de Colmar, 39, avenue de la Liberté, 68024 Colmar, France.
authors.forename: M
authors.initials: M
authors.lastname: Groza
authors.affiliation: Service de médecine interne et maladies infectieuses, hôpital Pasteur, hôpitaux civils de Colmar, 39, avenue de la Liberté, 68024 Colmar, France.
authors.forename: O
authors.initials: O
authors.lastname: Stoica
authors.affiliation: Service de médecine interne et maladies infectieuses, hôpital Pasteur, hôpitaux civils de Colmar, 39, avenue de la Liberté, 68024 Colmar, France.
authors.forename: G
authors.initials: G
authors.lastname: Blaison
mesh_terms: D000208:Acute Disease; D000328:Adult; D002169:Campylobacter Infections / Q000150:complications / Q000175:diagnosis*; D020806:Central Nervous System Bacterial Infections / Q000150:complications / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004673:Encephalomyelitis, Acute Disseminated / Q000175:diagnosis*; D005334:Fever / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008297:Male; D016055:Urinary Retention / Q000150:complications / Q000175:diagnosis*
keywords: Acute disseminated encephalomyelitis; Anti-MOG antibodies; Anticorps anti-MOG; Campylobacter; Encéphalomyélite aiguë disséminée; Febrile urinary retention; Immune-mediated disease; Pathologie immuno-médiée; Rétention aiguë d’urines; Tetraparesis; Tétraparésie