An Elderly with Purple Urine

2009 ◽  
Vol 16 (3) ◽  
pp. 159-160 ◽  
Author(s):  
CL Lau ◽  
KL Ong
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Catheter ◽  
Emergency Physicians ◽  
Accident And Emergency ◽  
Purple Urine Bag Syndrome ◽  
Uncommon Condition ◽  
Purple Urine

Purple discolouration of urine is not commonly encountered in accident and emergency departments. We report a case of an elderly gentleman on long-term urinary catheter who presented with purple discolouration of urine. He was found to have urinary tract infection caused by the bacteria Proteus mirabilis. The urine became clear after urinary catheter change and antibiotic treatment. This is called the purple urine bag syndrome and emergency physicians should be aware of this uncommon condition and the associated potentially dangerous conditions in order to initiate appropriate management.

scholarly journals Purple Urine Bag Syndrome: A rare manifestation of Catheter Associated Urinary Tract Infection

2018 ◽  
Vol 3 (4) ◽  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Healthcare Providers ◽  
Purple Colour ◽  
Geriatric Clinic ◽  
Rare Manifestation ◽  
Purple Urine Bag Syndrome ◽  
Purple Urine

Purple Urine Bag Syndrome (PUBS) is an infrequent manifestation associated with urinary tract infection in patients with long term catheterisation where the catheter bag and tubing turn a striking purple colour. It is a benign phenomenon but alarming for the patients, families and healthcare providers. We present a case report of this rare phenomenon occurring in an asymptomatic 83 year old lady, who was brought in for consultation at the Geriatric clinic.

scholarly journals The purple urine bag syndrome: a visually striking side effect of a highly alkaline urinary tract infection

2013 ◽  
Vol 5 (4) ◽  
pp. 233 ◽  
Author(s):  
Peter Peters ◽  
Jessica Merlo ◽  
Nicholas Beech ◽  
Chantelle Giles ◽  
Bonita Boon ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Side Effect ◽  
Purple Urine Bag Syndrome ◽  
Purple Urine

Purple urine bag syndrome: When the urine turns purple – An under diagnosed spot diagnosis

2021 ◽  
Vol 2 (3) ◽  
Author(s):  
Cathrin Kodde ◽  
◽  
Till Othmer ◽  
David Krieger ◽  
Silke Polsfuss ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Antibiotic Therapy ◽  
Urinary Catheter ◽  
Rare Condition ◽  
Community Acquired Pneumonia ◽  
Purple Urine Bag Syndrome ◽  
Indigo Blue ◽  
Tract Infections ◽  
Purple Urine

The Purple Urine Bag Syndrome (PUBS) is a rare condition in which the urine turns purple. It may occur in Urinary Tract Infections (UTIs) when bacteria metabolize dietary tryptophan to indole resulting in indigo (blue) and indirubin (red). This condition is mostly seen in elderly female patients with permanent urinary bladder catheterization. Patients, relatives and health professionals may be concerned about this discolouration, which is usually harmless. Medical management of PUBS involves frequent urinary bag change, antibiotic therapy and most importantly reassurance. We report an 89-years-old long-term catheterized female nursing home resident who was admitted to the emergency room because of a Community Acquired Pneumonia (CAP). After a few days of inpatient treatment her urine bag turned purple. Antibiotic therapy continued and the indwelling urinary catheter was changed resulting in clear urine. Keywords: Purple urine bag syndrome (PUBS); purple discolouration; urinary tract infection (UTI); long-term catheterization.

scholarly journals Purple urine bag syndrome in an elderly patient from Colombia

2015 ◽  
Vol 9 (07) ◽  
pp. 792-795
Author(s):  
Alvaro Mondragón-Cardona ◽  
Carlos Eduardo Jiménez-Canizales ◽  
Verónica Alzate-Carvajal ◽  
Fabricio Bastidas-Rivera ◽  
Juan Carlos Sepúlveda-Arias
Keyword(s):  
Elderly Patient ◽  
Urinary Tract Infection ◽  
Nursing Home ◽  
Urinary Tract ◽  
Urinary Catheter ◽  
Intestinal Bacteria ◽  
Rare Condition ◽  
Alkaline Ph ◽  
Purple Urine Bag Syndrome ◽  
Purple Urine

A 71-year-old woman in a nursing home, with indwelling urinary catheter, bedridden, presented with a purple urine collector bag. The purple urine bag syndrome is a rare condition associated with the metabolism of tryptophan by overgrowth of intestinal bacteria. The purple color is formed by a combination of indigo and indirubin produced as a result of phosphatase and sulfatase enzymatic activity of bacteria on indoxyl sulfate, under alkaline pH of the urine. We present the second case of this syndrome reported in Colombia detailing the management of this rare syndrome associated with urinary tract infection. Several conditions should be considered in the differential diagnose of diseases that cause discoloration of the urine.

Purple urine bag syndrome: a truly harmless sign?

2018 ◽  
Vol 63 (3) ◽  
pp. 99-101 ◽  
Author(s):  
H Rooney ◽  
L Mokool ◽  
A Ramsay ◽  
S Nalagatla
Keyword(s):  
Tract Infection ◽  
Outpatient Clinic ◽  
Healthcare Professionals ◽  
Limited Mobility ◽  
Asymptomatic Patients ◽  
Purple Urine Bag Syndrome ◽  
Uncommon Condition ◽  
Per Se ◽  
Purple Urine

Purple urine bag syndrome is an uncommon condition that describes the purple discolouration of a catheter bag and tubing. It mainly affects patients with limited mobility who have long-term catheters. Although benign in nature per se, its presence can alarm both patient and practitioner unfamiliar with the syndrome. Here, we describe two cases of asymptomatic patients who both presented to outpatient clinic with the characteristic purple discolouration of their long-term catheters and tubing. The report discusses the pathophysiology of the syndrome and initial investigation and management. Although the syndrome is considered benign, it may signify occult urine tract infection. This should not be ignored even if the patient is asymptomatic, given the likely co-morbidities of the patients affected. Healthcare professionals – particularly urologists and geriatricians – need to be aware of this unusual syndrome so as to initiate appropriate investigation and possible treatment as soon as possible.

Purple urine bag syndrome: a colourful complication of urinary tract infection

2020 ◽  
Vol 20 (10) ◽  
pp. 1215
Author(s):  
Precil Diego Miranda de Menezes Neves ◽  
Bernadete Maria Coelho Ferreira ◽  
Sara Mohrbacher ◽  
Pedro Renato Chocair ◽  
Américo Lourenço Cuvello-Neto
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Purple Urine Bag Syndrome ◽  
Purple Urine

scholarly journals Purple urine bag syndrome: An unusual but important manifestation of urinary tract infection. Case report and literature review

2019 ◽  
Vol 7 ◽  
pp. 2050313X1882310 ◽  
Author(s):  
Dominic Adam Worku
Keyword(s):  
Urinary Tract Infection ◽  
Case Report ◽  
Urinary Tract ◽  
Tract Infection ◽  
Literature Review ◽  
Interesting Phenomenon ◽  
Concise Review ◽  
Purple Urine Bag Syndrome ◽  
Urinary Catheterisation ◽  
Purple Urine

Purple urine bag syndrome is a rare albeit alarming purple discolouration of the urine typically seen in elderly ladies with constipation, urinary tract infection and concurrent urinary catheterisation. In this concise review, we report the pathophysiology of this condition and the case of one patient who developed this interesting phenomenon.

scholarly journals The purple urine bag syndrome: a visually striking side effect of a highly alkaline urinary tract infection

2011 ◽  
Vol 5 (4) ◽  
pp. 233-234 ◽  
Author(s):  
Peter Peters ◽  
Jessica Merlo ◽  
Nicholas Beech ◽  
Chantelle Giles ◽  
Bonita Boon ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Side Effect ◽  
Purple Urine Bag Syndrome ◽  
Purple Urine
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