# Meningitis-Retention Syndrome as an Unrecognized Clinical Condition in Indian Scenario: Fall Through the Cracks

## TL;DR

The paper describes a new condition called meningitis-retention syndrome, where aseptic meningitis and urinary retention occur together, and highlights its importance in diagnosis.

## Contribution

The paper introduces meningitis-retention syndrome as a newly recognized clinical condition in the Indian context.

## Key findings

- A 22-year-old man showed symptoms of meningitis and urinary retention, with urodynamic testing revealing an underactive detrusor.
- Urinary voiding was restored within 30 days without treatment, indicating the self-remitting nature of the condition.

## Abstract

Meningitis-retention syndrome (MRS) is a recently recognized condition marked by the concurrent occurrence of aseptic meningitis with acute urinary retention. We present the case of a 22-year-old man who presented with an undiagnosed fever with headache and urinary retention. Subsequent urodynamic testing revealed an underactive detrusor, resulting in insufficient contraction of the bladder during voiding despite normal sensation during bladder filling. Normal urinary voiding was successfully restored without the need for treatment within a 30-day timeframe. It is crucial to include MRS in the differential diagnosis of acute urinary retention. It is crucial to include MRS in the differential diagnosis of acute urinary retention. Despite the generally benign and self-remitting nature of MRS, the management of acute urinary retention is necessary.