Purple Urine Bag Syndrome in Rehabilitation

Siu, Gilbert; Watanabe, Thomas K.

doi:10.1016/j.pmrj.2010.01.007

Cited by 5 publications

(2 citation statements)

References 24 publications

(46 reference statements)

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“…He was found to have alkaline urine with Escherichia coli . Siu and Watanabe treated this by changing his catheter and giving antibiotics including trimethoprim and sulfamethoxazole [ 16 ].…”

Section: Exploring Cases With Knowledge Of Pubsmentioning

confidence: 99%

Purple Urine Bag Syndrome: A Rare Spot Diagnosis

et al. 2017

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Purple urine bag syndrome (PUBS) is a complication of urinary tract infections (UTIs) where catheter bags and tubing turn purple. It is alarming for patients, families, and clinicians; however, it is in itself a benign phenomenon. PUBS is the result of UTIs with specific bacteria that produce sulphatases and phosphatases which lead tryptophan metabolism to produce indigo (blue) and indirubin (red) pigments, a mixture of which becomes purple. Risk factors include female gender, immobility, constipation, chronic catheterisation, and renal disease. Management involves reassurance, antibiotics, and regular changing of catheters, although there are debates regarding how aggressively to treat and no official guidelines. Prognosis is good, but PUBS is associated with high morbidity and mortality due to the backgrounds of patients. Here, we review the literature available on PUBS, present a summary of case studies from the last five years, and propose the Oxford Urine Chart as a tool to aid such diagnoses.

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Section: Exploring Cases With Knowledge Of Pubsmentioning

confidence: 99%

Purple Urine Bag Syndrome: A Rare Spot Diagnosis

et al. 2017

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“…Leukocyte and bacterial counts in the urine of patients with PUBS are not always higher than the counts in the urine of patients without PUBS 7. The common bacterial strains cultured from the urine bag are shown in Table 1 2,7,13. The purple pigment in the urine is thought to originate from indican and indirubin (Figure 2), but there are some reports of cases of PUBS without any evidence of indicanuria 2,5.…”

Section: Laboratory Findingsmentioning

confidence: 99%

An update on purple urine bag syndrome

Hadano¹,

Shimizu²,

Takada³

et al. 2012

IJGM

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Purple urine bag syndrome is characterized by the urinary drainage bag turning purple in patients on prolonged urinary catheterization, especially those in the bedridden state. It is associated with bacterial urinary tract infections caused by indigo-producing and indirubin-producing bacteria, usually affects women, and is associated with alkaline urine, constipation, and a high bacterial load in the urine. Almost all patients with purple urine bag syndrome are catheterized due to significant disability, and the urinary pH is 7.0 or more. In general, intensive treatment with antibiotics is not recommended. Purple urine bag syndrome per se almost always appears to be asymptomatic and harmless. However, caution is needed, because some cases have been reported to show progression to severe disease states, so further research into the morbidity and mortality of this infection is warranted.

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Violet discoloration of urine: A case report and a literature review

Saraireh

Gharaibeh

Araydah

et al. 2021

Annals of Medicine &Amp; Surgery

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Background Purple Urine Bag Syndrome (PUBS) is an uncommon event that can be described as purple discoloration of urine due to a series of chemical reactions induced by Urinary Tract Infections (UTIs). PUBS has been reported in the past but still remains unrecognized by healthcare givers leading to misdiagnosis and inappropriate management. We report our case alongside a literature review of previously published cases. Case presentation We present the first case report of Purple Urine Bag Syndrome in Jordan of a catheterized 80-year-old wheel-chaired female with a history of type 2 Diabetes Mellitus (DM), stage 5 Chronic Kidney Disease (CDK), Hypertension, and ischemic stroke. Her condition was initially misdiagnosed for hematuria but later on was correctly diagnosed with PUBS. She was treated with a course of appropriate antibiotic and by changing her urinary catheter and bag. The patient returned for a follow up visit and her problem resolved with the color of her urine in the urine bag returning back to normal. Clinical discussion PUBS is an uncommon event that occurs in association with UTIs. Such cases are mostly seen in elderly catheterized patients with other risk factors. Conclusion Purple Urine Bag Syndrome can be managed by changing urinary catheter, and by the administration of appropriate antibiotics. Such event can be easily misdiagnosed thus leading to unnecessary and consuming measures. Creating a better awareness of this condition among physicians and healthcare givers is essential for better patient outcomes.

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Purple Urine Bag Syndrome in Rehabilitation

Cited by 5 publications

References 24 publications

Purple Urine Bag Syndrome: A Rare Spot Diagnosis

Purple Urine Bag Syndrome: A Rare Spot Diagnosis

An update on purple urine bag syndrome

Violet discoloration of urine: A case report and a literature review

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