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Case Report
Purple urine bag syndrome: A rare complication of urinary tract infection
1 MD, General surgeon and laparoscopist, Division of General Surgery/Laparoscopy, Centro Medico de Especialidades, Ciudad Juárez, Chihuahua, Mexico
2 MD, General surgeon, Division of General Surgery/Laparoscopy, Hospital General de Ciudad Juárez, Ciudad Juárez, Chihuahua, Mexico
3 MD, General physician, Consultant, Centro Medico de Especialidades, Ciudad Juárez, Chihuahua, Mexico
Address correspondence to:
Cesar Alberto López Jaime
Avenida Paseo Triunfo de la Republica, 32340 Ciudad Juárez, Chihuahua,
Mexico
Message to Corresponding Author
Article ID: 100023Z15CA2022
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How to cite this article
Aviléz CTP, Jaime CAL, Cereceres SJR, Arredondo TGZ, Garcia AGA, Posada AKS. Purple urine bag syndrome: A rare complication of urinary tract infection. J Case Rep Images Urol 2022;7:100023Z15CA2022.ABSTRACT
Introduction: Purple urine bag syndrome (PUBS) is a rare condition that occurs as a complication of urinary tract infections (UTI) characterized by the production of purple urine in tubes and catheter bag, related to the aberrant metabolism of tryptophan, it represents an alarming clinical condition for patients and their relatives. However prognosis is good in most of the patients but it is associated with a high mortality due to patients’ comorbidities.
Case Report: This is a 66-year-old female patient with a history of Parkinson’s disease with a history of chronic constipation and decubitus ulcers in the lumbosacral region and chronic use of a catheter bladder, secondary to the neurological pathology. She went to the emergency department with evidence of purple coloration in the urine as well as in the bag. A culture of the catheter tip showed Escherichia coli sensitive only to ertapenem, for which medical treatment was started and the urinary catheter changed, medical surveillance is continued by the outpatient clinic, reassessing the patient at 3 weeks with light yellow urinary output without stench.
Conclusion: The purple urine bag syndrome is an infrequent syndrome that requires multiple risk factors for its presentation, and despite the fact that most patients do not present any symptoms, in addition to the strange appearance of urine, it represents bacteriuria that may or may not require medical treatment based on antibiotics, but that necessarily requires the replacement of the urinary bag.
Keywords: Purple urine bag syndrome, Purple urine discoloration, Urinary bag, Urinary tract infection
SUPPORTING INFORMATION
Acknowledgments
We thank the staff of the “Centro Medico de Especialidades” for their support and constant drive to learn.
Author ContributionsCarlos Tadeo Perzabal Aviléz - Conception of the work, Design of the work, Analysis of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Cesar Alberto López Jaime - Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Saul Jasam Ruiz Cereceres - Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Tanya Gisselle Zapata Arredondo - Conception of the work, Design of the work, Analysis of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Aldo Gustavo Acosta Garcia - Acquisition of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Anna Karina Soto Posada - Acquisition of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2022 Carlos Tadeo Perzabal Aviléz et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
