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purple urine bag syndrome

Klaus Nunes Ficher, Amanda Azevedo Neves de Araújo, Sandra Gomes de Barros Houly, Paulo Ricardo Gessolo Lins, Moacyr Silva, Aecio Flavio Teixeira de Góis
We report a case of purple urine bag syndrome, associated to Streptococcus agalactiae urinary tract infection, progressing to septic shock and death. We present a review of the literature on the subject and take the opportunity to attend readers about increasing incidence with population aging and its potential bad outcome.
December 2016: Jornal Brasileiro de Nefrologia: ʹorgão Oficial de Sociedades Brasileira e Latino-Americana de Nefrologia
Hakan Koçoğlu, Betül Yıldırım, Yıldız Okuturlar, Mehmet Hurşitoğlu, Özlem Harmankaya
No abstract text is available yet for this article.
November 2016: Balkan Medical Journal
Luma Khalid, Iftikhar Ali, Khatira Wahid, Aziz Ullah Khan, Saima Fawad
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 disease stage 5, who presented to the emergency room with bilateral diabetic foot ulcers of 3 months duration, dry gangrene of ring finger and infected middle and little fingers with abscess over the palmar aspect of right hand of 20 days duration...
October 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
B Barman, M Lyngdoh, K G Lynrah, S B Warjri
The purple urine bag syndrome (PUBS) i.e. purple discolouration of urine, is an uncommon and alarming condition in patients with long term urinary catheterisation. Though the condition is benign, it should draw immediate attention to the possibility of an underlying urinary tract infection. The postulated hypothesis for this unusual event is probably a chemical reaction involving tryptophan from food in the gut. We report a case with this unusual and interesting phenomenon in a 65 year old female.
June 2016: Journal of the Association of Physicians of India
Sinu Rv, Kshitij Pawar
No abstract text is available yet for this article.
January 2016: Journal of the Association of Physicians of India
James Richardson-May
Purple urine bag syndrome is an unusual condition that heralds an underlying urinary tract infection, in which certain bacteria produce a purple discolouration within the catheter bag of affected cases. It is most often seen in elderly women with constipation. While alarming, it can be resolved by treating the infection causing it. This report presents an elderly patient who developed the condition while an inpatient, and discusses the pathogenesis behind the condition.
August 3, 2016: BMJ Case Reports
Hui Liu, Junmin Zhu, Qiwen Hu, Xiancai Rao
Morganella morganii belongs to the tribe Proteeae of the Enterobacteriaceae family. This species is considered as an unusual opportunistic pathogen that mainly causes post-operative wound and urinary tract infections. However, certain clinical M. morganii isolates present resistance to multiple antibiotics by carrying various resistant genes (such as blaNDM-1, and qnrD1), thereby posing a serious challenge for clinical infection control. Moreover, virulence evolution makes M. morganii an important pathogen...
September 2016: International Journal of Infectious Diseases: IJID
Pablo Demelo-Rodríguez, I Galán-Carrillo, Jorge Del Toro-Cervera
No abstract text is available yet for this article.
November 2016: European Journal of Internal Medicine
Sibghat Tul Llah, Salman Khan, Atman Dave, Amelia Jane A Morrison, Swapna Jain, David Hermanns
Purple bag urine syndrome (PUBS) is a benign and unique phenomenon of the urine turning a deep violet color within the urinary catheter tubing and bag. This phenomenon is commonly encountered in patients indicated with long-term catheter placement or, in certain conditions like chronic constipation, alkaline urine, limited ambulation, and, in terms of gender distribution, the female sex, predominates. PUBS gets its name from a unique phenomenon that takes places inside the gut where tryptophan (an amino acid) is metabolized, producing blue and red hues which together emanate a deep violet color...
2016: Curēus
M S Faridi, Md Jawaid Rahman, Naloh Mibang, N Shantajit, Khumukchum Somarendra
Purple urine bag syndrome (PUBS) is an uncommon condition that occurs mainly in chronically catheterized patient and associated with urinary tract infection. It is characterised by purple discolouration of urine bag which leads to significant stress and anxiety to patient, care takers and health workers, so awareness regarding this condition is of utmost importance. In our report, an old gentleman with Benign Prostate Hyperplasia (BPH) on per urethral catheter (PUC) with past history of recurrent urinary tract infection developed burning micturition of urine with purple discoloration of urine bag...
February 2016: Journal of Clinical and Diagnostic Research: JCDR
P Sriramnaveen, Y S Reddy, Avssn Sridhar, C K Kishore, Y Manjusha, V Sivakumar
No abstract text is available yet for this article.
January 2016: Indian Journal of Nephrology
Maria Valentina Domenech, Marta Calatroni, Pasquale Esposito, Nicoletta Serpieri, Edoardo La Porta, Luca Estienne, Elena Caramella, Antonio Dal Canton, Teresa Rampino
Urinalysis is a key part of the clinical evaluation of patients with kidney disease. It can provide several useful information for the diagnosis and management of diseases of kidneys and urinary tract. In particular, urine color can be affected by the presence of blood, infection and endogenous metabolites, such as bilirubin, or exogenous, for instance those derived from drugs. Therefore, the analysis of urine color may be helpful in identifying different clinical conditions. Here we report a case of a patient who presented purple-colored urine, the so-called " Purple urine bag syndrome", discussing the predisposing factors and the pathogenesis of this condition...
January 2016: Giornale Italiano di Nefrologia: Organo Ufficiale Della Società Italiana di Nefrologia
Adil Karim, Firas Abed, Ghassan Bachuwa
A change in the colour of urine is always of clinical significance, and a source of concern for the patient and his physician. Among the different urine colours observed, purple is the least common. Although purple discolouration of a catheter and a urine bag is an uncommon finding, it was reported in the literature as early as 1978, by Barlow and Dickson. We present a unique case of purple urine bag syndrome in a patient with bilateral nephrostomy tubes (NT) and associated urine bags (UB) with only the left nephrostomy tube and urine bag exhibiting the purple colour, which resolved with a course of appropriate antibiotics eradicating the causative bacterial pathogen, and change of NT and UB...
December 23, 2015: BMJ Case Reports
F Neweling, U Janssens
This article presents a case of purple urine bag syndrome (PUBS) with purple discoloration of urine in a patient with bilateral nephrostomy and acute renal failure. The discoloration of the urine is a product of bacterial metabolism. In principle, PUBS is benign and not of relevance for prognosis. However, it must be taken seriously as an indication for urinary tract infection and treated accordingly. Important for treatment is adequate urologic hygiene and care of urinary catheters for prevention of bacterial contamination as well as avoiding obstipation...
November 2016: Medizinische Klinik, Intensivmedizin und Notfallmedizin
Naufal Rizwan Taraganar Abubacker, Senthil Manikandan Thirumanilayur Jayaraman, Kannan R, Magesh Kumar Sivanesan, Renu Mathew
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...
August 2015: Journal of Clinical and Diagnostic Research: JCDR
A H Mohamed Faisal, G Shathiskumar, A Nurul Izah
Purple urine bag syndrome (PUBS), as the name implies produces purplish discoloration of the urine. It is commonly observed among elderly women with constipation, and individuals with long term catheter in the setting of urinary tract infection (UTI). From the literature research, there were no publications on PUBS in Malaysia; however we believe that it is underreported. We present a unique case of this rare condition occurring in a 68-year-old man, a nursing home resident on long term urinary catheter. The urine cleared after hydration, antibiotic therapy and replacement of the catheter...
August 2015: Medical Journal of Malaysia
Jan Van Keer, Daan Detroyer, Bert Bammens
Purple urine bag syndrome is a rare condition in which purple discoloration of urine inside its collection bag occurs. We describe two illustrative cases. The first patient is an 81-year-old man who was hospitalized for a newly diagnosed lymphoma with acute obstructive renal failure for which a nephrostomy procedure was performed. During the hospitalization, a sudden purple discoloration of the suprapubic catheter urine was noted, while the nephrostomy urine had a normal color. Urine culture from the suprapubic catheter was positive for Pseudomonas aeruginosa and Enterococcus faecalis; urine from the nephrostomy was sterile...
2015: Case Reports in Nephrology
Alvaro Mondragón-Cardona, Carlos Eduardo Jiménez-Canizales, Verónica Alzate-Carvajal, Fabricio Bastidas-Rivera, Juan Carlos Sepúlveda-Arias
A 71-year-old woman in a nursing home, with indwelling urinary catheter, bedridden, presented with a purple urine collector bag. The purple urine bag syndrome is a rare condition associated with the metabolism of tryptophan by overgrowth of intestinal bacteria. The purple color is formed by a combination of indigo and indirubin produced as a result of phosphatase and sulfatase enzymatic activity of bacteria on indoxyl sulfate, under alkaline pH of the urine. We present the second case of this syndrome reported in Colombia detailing the management of this rare syndrome associated with urinary tract infection...
July 30, 2015: Journal of Infection in Developing Countries
Tsuneaki Kenzaka
No abstract text is available yet for this article.
May 2015: Korean Journal of Internal Medicine
Reginald Alex, Krishna Manjunath, Rajan Srinivasan, Gopal Basu
Purple urine bag syndrome occurs commonly in long-term catheterized patients causing significant stress for patients, care takers, and health care providers. This may lead to unwarranted investigation as well as treatment when not identified early. Demographic changes in Indian population with increasing geriatric care make it a case to increase awareness of this condition among health care providers in primary and secondary care settings.
January 2015: Journal of Family Medicine and Primary Care
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