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Purple urinary bag syndrome: Our experience
Amit Agrawal1, Tanmay Pande2, S Tripathy3
1Senior Adviser (Surgery) & Urologist, Command Hospital (Western Command), Chandimandir, India.
Medical Journal, Armed Forces India
|January 6, 2023
Summary
Purple urinary bag syndrome (PUBS) causes purple discoloration in urinary bags due to bacterial breakdown of indole. This rare condition in catheterized patients is treatable with catheter changes and antibiotics.
Area of Science:
- Urology
- Infectious Diseases
- Medical Microbiology
Background:
- Purple urinary bag syndrome (PUBS) is a rare condition causing purple discoloration of urinary catheters and bags.
- It primarily affects patients with long-term indwelling catheters.
- PUBS results from bacterial metabolism of indole into indigo and indirubin pigments.
Purpose of the Study:
- To analyze and report on cases of Purple Urinary Bag Syndrome (PUBS).
- To understand the characteristics and outcomes of PUBS patients.
Main Methods:
- Prospective observational study.
- Analysis of PUBS cases diagnosed between March 2012 and February 2020.
- Follow-up of diagnosed patients.
Main Results:
- Five patients presented with PUBS.
- Four patients were female; four had chronic constipation.
- All patients were elderly, debilitated, and successfully treated with catheter changes and antibiotics.
Conclusions:
- PUBS is a rare but alarming condition in elderly patients with long-term indwelling catheters.
- Diagnosis is visual, and treatment involves catheter change and antibiotics.
- Increased awareness can aid in diagnosis and treatment.
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