Purple Urine Bag Syndrome.

Area of Science:

• Nephrology
• Geriatrics
• Infectious Diseases

Background:

• Purple Urine Bag Syndrome (PUBS) is a rare, benign condition causing urine discoloration in catheterized patients.
• It often causes significant patient and caregiver distress despite its typically harmless nature.

Observation:

• This case report details an unusual instance of PUBS in a 60-year-old female with hypertension, type II diabetes, and chronic kidney disease stage 5.
• The patient presented with severe diabetic foot ulcers, dry gangrene, and hand infections.

Findings:

• PUBS was observed in this patient, correlating with alkaline urine, though acidic urine has also been reported.
• The syndrome was associated with both constipation and diarrhea, demonstrating its complex and varied gastrointestinal links.

Implications:

• This case underscores the importance of recognizing PUBS in patients with multiple comorbidities.
• Understanding the diverse clinical associations of PUBS is crucial for accurate diagnosis and patient reassurance.