scholarly journals A PUBS Case in a Palliative Care Unit Experience

2014 ◽  
Vol 2014 ◽  
pp. 1-2
Author(s):  
M. R. Restuccia ◽  
M. Blasi
Keyword(s):  
Palliative Care ◽  
Urinary Tract Infection ◽  
Rare Case ◽  
Rare Condition ◽  
Urinary Catheterization ◽  
Benign Condition ◽  
Alkaline Urine ◽  
Purple Urine Bag Syndrome ◽  
Purple Urine ◽  
Acidic Urine

Purple urine bag syndrome (PUBS) is a rare condition in which purple discoloration of the collecting bag and its associated tubing occurs. It is considered a benign condition. PUBS is usually associated with urinary tract infection occurring in elderly bedridden women, with chronic urinary catheterization. This syndrome is usually reported to occur in alkaline urine, but here we describe a rare case of PUBS involving acidic urine.

scholarly journals Purple urine bag syndrome in an elderly patient from Colombia

2015 ◽  
Vol 9 (07) ◽  
pp. 792-795
Author(s):  
Alvaro Mondragón-Cardona ◽  
Carlos Eduardo Jiménez-Canizales ◽  
Verónica Alzate-Carvajal ◽  
Fabricio Bastidas-Rivera ◽  
Juan Carlos Sepúlveda-Arias
Keyword(s):  
Elderly Patient ◽  
Urinary Tract Infection ◽  
Nursing Home ◽  
Urinary Tract ◽  
Urinary Catheter ◽  
Intestinal Bacteria ◽  
Rare Condition ◽  
Alkaline Ph ◽  
Purple Urine Bag Syndrome ◽  
Purple Urine

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. Several conditions should be considered in the differential diagnose of diseases that cause discoloration of the urine.

scholarly journals Purple Urine Bag Syndrome May Not Be Benign: A Case Report and Brief Review of the Literature

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Mukul Bhattarai ◽  
Hamid Bin Mukhtar ◽  
Thomas Walter Davis ◽  
Alok Silodia ◽  
Hitekshya Nepal
Keyword(s):  
Rare Condition ◽  
Altered Mental Status ◽  
Nephrostomy Tube ◽  
Benign Condition ◽  
Tertiary Center ◽  
History Of ◽  
Purple Urine Bag Syndrome ◽  
Vancomycin Resistant ◽  
Purple Urine ◽  
Case Basis

Purple urine bag syndrome (PUBS) is a rare condition in which there is purple discoloration of the urine with its collecting bag and associated tubing occurs. It is considered a benign condition. We report an unusual case of PUBS in an 87-year-old female from nursing home who had a history of recurrent UTI. She also had a history of ureteral obstruction requiring left nephrostomy tube. She was brought to emergency department with altered mental status which developed five days after the occurrence of purple discoloration of the urinary bag. Her urine culture grew vancomycin-resistantEnterococci(VRE) andPseudomonas aeruginosa. She died within three days of hospitalization despite intensive care in tertiary center. This case highlights that PUBS may not always be benign and should be approached on a case-by-case basis because it may signal the underlying UTI which might be very difficult to treat. Failure of recognition of this peculiar color early could delay the appropriate intervention leading to fatal complication. This case also represents the rare occurrence of PUBS in the setting of nephrostomy tube.

Purple urine bag syndrome in palliative care

2018 ◽  
Vol 9 (2) ◽  
pp. 155-157 ◽  
Author(s):  
Sanhapan Wattanapisit ◽  
Apichai Wattanapisit ◽  
Anong Meepuakmak ◽  
Pornnipa Rakkapan
Keyword(s):  
Risk Factors ◽  
Palliative Care ◽  
Rare Condition ◽  
Modifiable Risk Factors ◽  
Oral Antibiotics ◽  
Urinary Catheters ◽  
Patient Status ◽  
Palliative Care Teams ◽  
Purple Urine Bag Syndrome ◽  
Purple Urine

Purple urine bag syndrome (PUBS) is a rare condition characterised by urine discolouration. The management of PUBS remains controversial. Four females (mean age 84.5±9.7 years) with palliative conditions (two cancer and two non-cancer cases) presenting PUBS were identified. Urine bags were changed in all cases. Urinary catheters were changed in three cases. Oral antibiotics were prescribed in two cases and used in one case. Urine discolouration was resolved in all cases. One patient (without antibiotic treatment) died on day 5 after presentation of PUBS. Three patients (one out of three cases used oral antibiotics) were clinically stable after the management of PUBS. There was no recurrence of PUBS. Caring for patients with PUBS should be based on clinical decisions, patient status and the goals of care. Palliative care teams should focus on the prevention of PUBS by shortening the duration of catheterisation and minimising modifiable risk factors for this condition.

scholarly journals Purple urine bag syndrome with acidic urine

2008 ◽  
Vol 12 (5) ◽  
pp. 526-527 ◽  
Author(s):  
Shiu-Dong Chung ◽  
Chun-Hou Liao ◽  
Hsu-Dong Sun
Keyword(s):  
Purple Urine Bag Syndrome ◽  
Purple Urine ◽  
Acidic Urine

scholarly journals The purple urine bag syndrome: a visually striking side effect of a highly alkaline urinary tract infection

2013 ◽  
Vol 5 (4) ◽  
pp. 233 ◽  
Author(s):  
Peter Peters ◽  
Jessica Merlo ◽  
Nicholas Beech ◽  
Chantelle Giles ◽  
Bonita Boon ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Side Effect ◽  
Purple Urine Bag Syndrome ◽  
Purple Urine

An Elderly with Purple Urine

2009 ◽  
Vol 16 (3) ◽  
pp. 159-160 ◽  
Author(s):  
CL Lau ◽  
KL Ong
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Catheter ◽  
Emergency Physicians ◽  
Accident And Emergency ◽  
Purple Urine Bag Syndrome ◽  
Uncommon Condition ◽  
Purple Urine

Purple discolouration of urine is not commonly encountered in accident and emergency departments. We report a case of an elderly gentleman on long-term urinary catheter who presented with purple discolouration of urine. He was found to have urinary tract infection caused by the bacteria Proteus mirabilis. The urine became clear after urinary catheter change and antibiotic treatment. This is called the purple urine bag syndrome and emergency physicians should be aware of this uncommon condition and the associated potentially dangerous conditions in order to initiate appropriate management.

Purple urine bag syndrome: When the urine turns purple – An under diagnosed spot diagnosis

2021 ◽  
Vol 2 (3) ◽  
Author(s):  
Cathrin Kodde ◽  
◽  
Till Othmer ◽  
David Krieger ◽  
Silke Polsfuss ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Antibiotic Therapy ◽  
Urinary Catheter ◽  
Rare Condition ◽  
Community Acquired Pneumonia ◽  
Purple Urine Bag Syndrome ◽  
Indigo Blue ◽  
Tract Infections ◽  
Purple Urine

The Purple Urine Bag Syndrome (PUBS) is a rare condition in which the urine turns purple. It may occur in Urinary Tract Infections (UTIs) when bacteria metabolize dietary tryptophan to indole resulting in indigo (blue) and indirubin (red). This condition is mostly seen in elderly female patients with permanent urinary bladder catheterization. Patients, relatives and health professionals may be concerned about this discolouration, which is usually harmless. Medical management of PUBS involves frequent urinary bag change, antibiotic therapy and most importantly reassurance. We report an 89-years-old long-term catheterized female nursing home resident who was admitted to the emergency room because of a Community Acquired Pneumonia (CAP). After a few days of inpatient treatment her urine bag turned purple. Antibiotic therapy continued and the indwelling urinary catheter was changed resulting in clear urine. Keywords: Purple urine bag syndrome (PUBS); purple discolouration; urinary tract infection (UTI); long-term catheterization.

Rare Case Report of Purple Urine Bag Syndrome

2011 ◽  
Vol 3 (12) ◽  
pp. 464-465
Author(s):  
Dr. Rajesh R Karekar ◽  
◽  
Dr. Shreepad M Bhat ◽  
Dr. Neeta P Pradhan ◽  
Tanvee S Kulkarni ◽  
...  
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Rare Case Report ◽  
Purple Urine Bag Syndrome ◽  
Purple Urine

Two Cases of the Purple Urine Bag Syndrome

2009 ◽  
Vol 16 (3) ◽  
pp. 155-158
Author(s):  
TSK Lam ◽  
OF Wong ◽  
CWK Au ◽  
HT Fung
Keyword(s):  
Literature Review ◽  
Clinical Course ◽  
Urinary Catheterization ◽  
Purple Urine Bag Syndrome ◽  
Purple Urine

The purple urine bag syndrome, purple discoloration of urine, is an uncommon and alarming condition in patients requiring long-term urinary catheterization but the clinical course is usually benign. We report two cases of the syndrome with a literature review on its aetiology and management.

Sign in / Sign up

Export Citation Format

Share Document