scholarly journals Case Report: Purple urine bag syndrome in woman with neurogenic bladder

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 979
Author(s):  
Senohadi Boentoro ◽  
Nugroho Budi Utomo

Purple urine bag syndrome (PUBS) is a rare phenomenon in patients that is associated with the use of a long-term/indwelling urinary catheter. The purple color results from indigo and indirubin, accumulated from bacteria-mediated tryptophan conversion. High risk patients include: the elderly; women; immobilized patients; patients with an indwelling catheter, chronic constipation, alkaline urine or poor hygiene; and those with catheter bags and tubes made of certain types of plastic. We reported PUBS in an elderly woman with an indwelling catheter and chronic constipation which, to our knowledge, was the first case in our hospital. The patient underwent urinary catheter change and received intravenous ciprofloxacin, following which the urine returned to a yellow color and the patient was discharged. This case report describes the diagnosis, management and also strategies for the prevention of PUBS in Gatot Soebroto Army Hospital, Indonesia.

2020 ◽  
Vol 2 (11) ◽  
pp. 2445-2447
Author(s):  
Heidi Angela Fernandez ◽  
Martín Lescano Ruiz ◽  
Stephanie González Jara

2009 ◽  
Vol 16 (3) ◽  
pp. 159-160 ◽  
Author(s):  
CL Lau ◽  
KL Ong

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.


Author(s):  
Cathrin Kodde ◽  
◽  
Till Othmer ◽  
David Krieger ◽  
Silke Polsfuss ◽  
...  

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.


2011 ◽  
Vol 3 (12) ◽  
pp. 464-465
Author(s):  
Dr. Rajesh R Karekar ◽  
◽  
Dr. Shreepad M Bhat ◽  
Dr. Neeta P Pradhan ◽  
Tanvee S Kulkarni ◽  
...  

2011 ◽  
Vol 75 (06) ◽  
pp. 557-559 ◽  
Author(s):  
K.-H. Kang ◽  
K.-H. Jeong ◽  
S.-K. Baik ◽  
W.-Y. Huh ◽  
T.-W. Lee ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document