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Case Reports in Medicine
Volume 2013, Article ID 984345, 4 pages
Case Report

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

Department of Internal Medicine, Texas Tech University Health Sciences Center, 3601 4th Street, Lubbock, Texas 79430, USA

Received 3 April 2013; Revised 9 July 2013; Accepted 11 July 2013

Academic Editor: Christian Koch

Copyright © 2013 Charoen Mankongpaisarnrung et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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.