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2017, Number 2

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Gac Med Mex 2017; 153 (2)

Purple urine bag syndrome: An uncommon manifestation of urinary tract infection

Golzarri MF, Hernaiz-Leonardo JC, Díaz-González A, Velázquez-Acosta C, Vilar-Compte D
Full text How to cite this article

Language: Spanish
References: 5
Page: 273-275
PDF size: 223.87 Kb.


Key words:

Urinary tract infection, Bacteriuria, Urinary catheter.

ABSTRACT

Case Report: A 57-year-old paraplegic male diagnosed with non-Hodgkin’s lymphoma and complete spinal cord compression arrived at our clinic because of fever and purple discoloration of the urine. We diagnosed purple urine bag syndrome (PUBS) and treated him with oral ciprofloxacin and urinary catheter replacement. Discussion: PUBS is an unusual phenomenon that occurs predominantly in bedridden patients with long-term urinary catheters, presenting as a purple discoloration of the urine bag. Its pathogenesis involves the metabolism of indoxyl sulfate by sulfatase-producing bacteria. Knowledge of this entity is important in order to avoid unnecessary diagnostic workup and treatment.


REFERENCES

  1. Barlow GB, Dickson JA. Purple urine bags. Lancet. 1978;28:220-1.

  2. 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;26:2152-6.

  3. Peng TC, Wang CC, Chan JY, et al. Analysis of risk factors in elderly patients with purple urine bag syndrome: a retrospective analysis in a medical center in northern Taiwan. J Med Sci. 2014;34:110-4.

  4. Agapakis DI, Massa EV, Hantzis I, Paschoni E, Satsoglou E. Purple urine bag syndrome: a case report of an alarming phenomenon. Hippokratia. 2014;18:92-4.

  5. Delgado G, Martínez-Reséndez M, Camacho-Ortiz A. Purple urine bag syndrome in end-stage chronic kidney disease. J Bras Nefrol. 2014; 36:542-4.




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C?MO CITAR (Vancouver)

Gac Med Mex. 2017;153