title: Streptococcus pneumoniae Meningitis Presenting with Acute Urinary Retention and Emphysematous Cystitis.
abstract: A combination of acute urinary retention and aseptic meningitis has occasionally been described, which is referred to as meningitis-retention syndrome. In contrast, acute urinary retention has rarely been reported in bacterial meningitis. We herein report a case of Streptococcus pneumoniae meningitis presenting with acute urinary retention which led to emphysematous cystitis in an elderly woman. She presented with impaired consciousness and a distended lower abdomen. She was diagnosed with pneumococcal meningitis by lumbar puncture. Abdominal computed tomography revealed the presence of emphysematous cystitis. She completely recovered with antibiotic therapy without any complications. Acute urinary retention can occur secondary to pneumococcal meningitis.
authors.affiliation: Department of General Internal Medicine, Kobe City Medical Center General Hospital, Japan.
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Mizuno
authors.forename: Asako
authors.initials: A
authors.lastname: Doi
authors.forename: Akiko
authors.initials: A
authors.lastname: Endo
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Nishioka
mesh_terms: D000368:Aged; D003556:Cystitis / Q000382:microbiology*; D004646:Emphysema / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000382:microbiology*; D004927:Escherichia coli Infections / Q000150:complications*; D005260:Female; D006801:Humans; D059413:Intraabdominal Infections / Q000150:complications; D008586:Meningitis, Pneumococcal / Q000150:complications* / Q000382:microbiology; D014057:Tomography, X-Ray Computed; D016055:Urinary Retention / Q000382:microbiology*