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Purple Urine Bag Syndrome. | LitMetric

Purple Urine Bag Syndrome.

J Clin Diagn Res

Professor, Department of Microbiology, Saveetha Medical College and Hospital, Saveetha University, Saveetha Nagar, Thandalam, Chennai, Tamil Nadu, India .

Published: August 2015

AI Article Synopsis

  • Purple urine bag syndrome (PUBS) is a rare condition where urine in catheter bags turns purple, primarily affecting elderly individuals who have long-term urinary catheters.
  • The purple color results from indigo and indirubin, which are produced when tryptophan is metabolized by bacteria such as Providencia and Klebsiella.
  • A case study reports a young male experiencing PUBS linked to prolonged catheter use, with positive urine culture for Providencia; treatment included changing the catheter and antibiotics, which cleared the discoloration.

Article Abstract

Purple urine bag syndrome (PUBS) is a rare disorder seen in elderly persons, wherein the urinary bag and the tubing turn in to purple colour. It is usually seen in patients who are on urinary catheters for a long time. Purple coloured urine occurs due to the accumulation of indigo and indirubin, which are the end products of tryptophan metabolism due to the action of sulfatases and phosphatases formed by bacteria like Providencia, Citrobacter, Enterobacter, Klebsiella etc. We present this interesting phenomenon of purple urine in a young male who was on prolonged urinary catheterization. The urine culture was positive for Providencia and constipation was an added risk factor for the purple urine. The urinary catheter and tubing was changed along with a course of antibiotics which lead to the normalization of the urine colour.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4576580PMC
http://dx.doi.org/10.7860/JCDR/2015/14736.6304DOI Listing

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