{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T10:25:46Z","timestamp":1771669546084,"version":"3.50.1"},"reference-count":5,"publisher":"SMC Media","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Meningitis-retention syndrome (MRS) is a rare disorder where aseptic meningitis is accompanied by urinary retention, which can be easily misdiagnosed as urinary tract infection. We present the case of a 55-year-old man with fever and dysuria. At the time of hospitalization, the patient had no symptoms of meningitis, but signs of meningeal irritation appeared later during the course of the disease. Investigation revealed that this was a case of MRS due to Epstein\u2013Barr virus. We have to consider MRS when examining patients with fever and urinary retention, as dysuria may precede meningitis symptoms.<\/jats:p>","DOI":"10.12890\/2020_002133","type":"journal-article","created":{"date-parts":[[2021,5,25]],"date-time":"2021-05-25T09:52:37Z","timestamp":1621936357000},"source":"Crossref","is-referenced-by-count":4,"title":["Epstein\u2013Barr Virus-induced Meningitis-Retention Syndrome"],"prefix":"10.12890","volume":"7","author":[{"given":"Morika","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of General Internal Medicine, National Hospital Organization Sendai Medical Center, Miyagi, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Genya","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Department of General Neurology, National Hospital Organization Sendai Medical Center, Miyagi, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Watari","sequence":"additional","affiliation":[{"name":"Postgraduate Clinical Training Centre, Shimane University Hospital, Shimane, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10397","published-online":{"date-parts":[[2020,12,4]]},"reference":[{"key":"10.12890\/2020_002133_ref1","doi-asserted-by":"crossref","unstructured":"<li>Sakakibara R, Kishi M, Tsuyusaki Y, Taeno A, Tateno F, Uchiyama T, et al. Meningitis-retention syndrome: a review. <em>Neurourol Urodyn<\/em> 2012;<strong>32<\/strong>:19\u201323.<\/li>","DOI":"10.1002\/nau.22279"},{"key":"10.12890\/2020_002133_ref2","doi-asserted-by":"crossref","unstructured":"<li>Savoldi F, Kaufmann T, Flanagan E, Toledano M, Weinshenker B. Elsberg syndrome: a rarely recognized cause of cauda equine syndrome and lower thoracic myelitis. <em>Neurol Neuroimmunol Neuroinflamm<\/em> 2017;<strong>4<\/strong>:e355.<\/li>","DOI":"10.1212\/NXI.0000000000000355"},{"key":"10.12890\/2020_002133_ref3","doi-asserted-by":"crossref","unstructured":"<li>Sakakibara R, Uchiyama T, Liu Z, Yamamoto T, Ito T, Uzawa A, et al. Meningitis-retention syndrome: an unrecognized clinical condition. <em>J Neurol<\/em> 2005;<strong>252<\/strong>:1495\u20131499.<\/li>","DOI":"10.1007\/s00415-005-0897-6"},{"key":"10.12890\/2020_002133_ref4","unstructured":"<li>Geng L, Wang X. Epstein\u2013Barr virus-associated lymphoproliferative disorders: experimental and clinical developments. <em>Int J Clin Exp Med<\/em> 2015;<strong>8<\/strong>:14656\u201314671.<\/li>"},{"key":"10.12890\/2020_002133_ref5","doi-asserted-by":"crossref","unstructured":"<li>Fujimoto H, Asaoka K, Imaizumi T, Ayabe M, Shoji H, Kaji M. Epstein\u2013Barr virus infections of the central nervous system. <em>Intern Med<\/em> 2003;<strong>42<\/strong>:33\u201340.<\/li>","DOI":"10.2169\/internalmedicine.42.33"}],"container-title":["European Journal of Case Reports in Internal Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/2133\/2476","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/2133\/2477","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/2133\/2477","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T12:16:18Z","timestamp":1756469778000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/view\/2133"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,4]]},"references-count":5,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.12890\/2020_002133","relation":{"has-manifestation":[{"id-type":"other","id":"1-65-2133-g2476","asserted-by":"subject"},{"id-type":"other","id":"1-65-2133-g2477","asserted-by":"subject"}],"is-part-of":[{"id-type":"other","id":"1-65","asserted-by":"subject"}]},"ISSN":["2284-2594"],"issn-type":[{"value":"2284-2594","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,4]]},"article-number":"19"}}