Bag sampling of urine too unreliable

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Purple urine bag syndrome

A 44-year-old man with Down’s syndrome and neurogenic bladder which required a suprapubic catheter presented with fever and change in his urine color for one day. Physical examination revealed a temperature of 38.3°C, blood pressure of 60/30 mmHg, pulse rate of 120/min and urine with purple discoloration in the urine catheter and bag (Figure 1). A urine dipstick test indicated the presence of l...

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Purple Urine Bag Syndrome

A 67-year-old woman presented to the emergency department in congestive heart failure. She also had a history of transverse myelitis, which had caused her to be bedbound with an indwelling urinary catheter. During the physical examination, the urine in her Foley tubing and bag were noted to be bright purple. When asked, she replied that the urine had turned purple several weeks earlier. She den...

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Purple urine bag syndrome

Purple urine bag syndrome is a rare disorder where the plastic urinary catheter bag and tubing turn purple. The discolouration is due to the presence of indigo and indirubin pigments which are metabolites of tryptophan. It is associated with urinary tract infection. Bacteria that produce sulphatase and phosphatase are involved in the formation of these pigments. Purple urine bag syndrome is ass...

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Purple urine bag syndrome.

A 70 year old lady of recurrent ischaemic stroke on a chronic urinary catheter presented with purple discoloration of her catheter bag. Clinically, she was febrile. The urinary catheter drainage bag (Panel A) was purple stained. Her urine pH was alkaline at 7.5 with leucocytes present. The urine culture grew Klebsiella pneumoniae. She was treated with ampicillin/sulbactam which led to the resol...

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Purple Urine Bag Syndrome.

Purple Urine Bag Syndrome (PUBS) refers to the purple discoloration of urine and is commonly observed in bed ridden patients with long-term urinary catheters. Although typically benign, the purple discoloration is alarming to both the patients and their attendants. This case report presents an uncommon case of PUBS in a 60-year-old lady with hypertension, type II diabetes, and chronic kidney di...

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ژورنال

عنوان ژورنال: Nature Reviews Urology

سال: 2009

ISSN: 1759-4812,1759-4820

DOI: 10.1038/nrurol.2009.137