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Purple urine bag syndrome: A case report
Sabeel Iftikhar Ahmed1, Mir Abdul Waheed1, Sara Shah1
1Emergency Medicine, Maroof International Hospital, Islamabad, Pakistan.
International Journal of Surgery Case Reports
|October 20, 2022
Summary
Purple Urine Bag Syndrome (PUBS) causes alarming urine discoloration in catheterized patients. This benign condition indicates underlying bacteriuria but has no prognostic value.
Area of Science:
- Urology
- Nephrology
- Internal Medicine
Background:
- Purple Urine Bag Syndrome (PUBS) is a rare condition characterized by purple discoloration of urine.
- It is commonly observed in bedridden patients with long-term urinary catheterization.
Observation:
- A case report details PUBS in a 74-year-old female with hypertension, type II diabetes, and ischemic stroke.
- The patient had a neurogenic bladder and had been catheterized for two years, presenting with discolored urine and low-grade fever.
- Clinical examination revealed a Grade 1 bed sore with pus oozing.
Findings:
- PUBS is typically associated with alkaline urine in chronically catheterized patients, though it can occur in acidic urine.
- The syndrome, despite its alarming appearance, is generally benign and asymptomatic.
- Purple urine is an indicator of underlying bacteriuria.
Implications:
- PUBS can cause significant anxiety for patients and their families due to its unusual presentation.
- Recognizing PUBS as a benign indicator of bacteriuria is crucial for appropriate patient management.
- This condition has no independent prognostic value for patient outcomes.
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