Purple urine bag syndrome: an alarming and rare phenomenon of urine infection

  • Dr. Gautam Rawal Attending Consultant-Critical Care, Rockland Hospital, Qutab Institutional Area, New Delhi, India
  • Dr. Nitin Garg Senior consultant and Head-Critical Care, Rockland Hospital, Qutab Institutional Area, New Delhi, India
  • Dr. Sankalp Yadav General Duty Medical Officer-II, Chest Clinic Moti Nagar, New Delhi, India
  • Dr. Umar Rasool Wani Senior Resident-Critical Care, Rockland Hospital, Qutab Institutional Area, New Delhi, India
  • Dr Ms. Priyanka Shokeen Dietician, Rockland Hospital, Qutab Institutional Area, New Delhi, India
Keywords: Purple Urine Bag, Urine Discoloration, Tryptophan, Urine Infection

Abstract

Purple urine bag syndrome (PUBS) is a rare but striking and an alarming medical phenomenon observed in patients having indwelling urinary catheters with co-existing urinary tract infections. It commonly occurs in bedridden elderly with constipation and long standing indwelling urinary catheters, and denotes bacterial urinary tract infection. The authors report a case of 77 year-old Indian male with purple coloration of his urinary drainage bag in the context of a urinary tract infection caused by Pseudomonas aeruginosa.

Downloads

Download data is not yet available.

References

1. Al Montasir A, Al Mustaque A. Purple Urine Bag Syndrome. Journal of Family Medicine and Primary Care. 2013;2(1):104-105. [PubMed]

2. Su FH, Chung SY, Chen MH, Sheng ML, Chen CH, Chen YJ, et al. Case analysis of purple urine-bag syndrome at a long-term care service in a community hospital. Chang Gung Med J. 2005 Sep;28(9):636-42.

3. Khan F, Chaudhry MA, Qureshi N, Cowley B. Purple Urine Bag Syndrome: An Alarming Hue? A Brief Review of the Literature. Int J Nephrol. 2011;2011:419213. [PubMed]

4. Rawal G, Garg N, Wani UR, Yadav S. Green urine: A rare benign side effect of propofol. Int J Med Res Rev 2015;3(1):136-138. [PubMed]

5. Hadano Y, Shimizu T, Takada S, Inoue T, Sorano S. An update on purple urine bag syndrome. Int J Gen Med. 2012;5:707-10. [PubMed]

6. Dealler SF, Hawkey PM, Millar MR. Enzymatic degradation of urinary indoxyl sulfate by Providencia stuartii and Klebsiella pneumoniae causes the purple urine bag syndrome. J Clin Microbiol. 1988 Oct;26(10):2152-6.

7. Yang CJ, Lu PL, Chen TC, Tasi YM, Lien CT, Chong IW, et al. Chronic kidney disease is a potential risk factor for the development of purple urine bag syndrome. J Am Geriatr Soc. 2009 Oct;57(10):1937-8. [PubMed]

8. Lin CH, Huang HT, Chien CC, Tzeng DS, Lung FW. Purple urine bag syndrome in nursing homes: Ten elderly case reports and a literature review. Clin Interv Aging. 2008;3(4):729-34.
CITATION
DOI: 10.17511/ijmrr.2015.i2.036
Published: 2015-03-31
How to Cite
1.
Rawal G, Garg N, Yadav S, Rasool Wani U, Shokeen P. Purple urine bag syndrome: an alarming and rare phenomenon of urine infection. Int J Med Res Rev [Internet]. 2015Mar.31 [cited 2024Nov.8];3(2):231-3. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/215
Section
Case Report

Most read articles by the same author(s)