Purple urine bag syndrome: case report for Streptoccocus agalactiae and literature
            review

Ficher, Klaus Nunes; Araújo, Amanda Azevedo Neves de; Houly, Sandra Gomes de Barros; Lins, Paulo Ricardo Gessolo; Silva, Moacyr; Góis, Aécio Flávio Teixeira de

doi:10.5935/0101-2800.20160075

Cited by 5 publications

(2 citation statements)

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“…Spectrophotometry was performed only in the case reported by Ficher et al They found indigo pigment in the urine sediment. 4 Antibiotherapy is not systematic once PUBS is observed, it depends on the presence of septic signs. PUBS may disappear once the indwelling cathteter is changed.…”

Section: Discussionmentioning

confidence: 99%

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Purple urine bag syndrome, a disturbing urine discoloration

Karray

Batti

Talbi

et al. 2018

Urology Case Reports

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Section: Discussionmentioning

confidence: 99%

“…In some reports, PUBS was associated to a scrotal gangrene and to a septic shock, justifying a thourough follow-up once PUBS is diagnosed. 4 , 5 …”

Section: Discussionmentioning

confidence: 99%

Purple urine bag syndrome, a disturbing urine discoloration

Karray

Batti

Talbi

et al. 2018

Urology Case Reports

View full text Add to dashboard Cite

Violet discoloration of urine: A case report and a literature review

Saraireh

Gharaibeh

Araydah

et al. 2021

Annals of Medicine &Amp; Surgery

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Background Purple Urine Bag Syndrome (PUBS) is an uncommon event that can be described as purple discoloration of urine due to a series of chemical reactions induced by Urinary Tract Infections (UTIs). PUBS has been reported in the past but still remains unrecognized by healthcare givers leading to misdiagnosis and inappropriate management. We report our case alongside a literature review of previously published cases. Case presentation We present the first case report of Purple Urine Bag Syndrome in Jordan of a catheterized 80-year-old wheel-chaired female with a history of type 2 Diabetes Mellitus (DM), stage 5 Chronic Kidney Disease (CDK), Hypertension, and ischemic stroke. Her condition was initially misdiagnosed for hematuria but later on was correctly diagnosed with PUBS. She was treated with a course of appropriate antibiotic and by changing her urinary catheter and bag. The patient returned for a follow up visit and her problem resolved with the color of her urine in the urine bag returning back to normal. Clinical discussion PUBS is an uncommon event that occurs in association with UTIs. Such cases are mostly seen in elderly catheterized patients with other risk factors. Conclusion Purple Urine Bag Syndrome can be managed by changing urinary catheter, and by the administration of appropriate antibiotics. Such event can be easily misdiagnosed thus leading to unnecessary and consuming measures. Creating a better awareness of this condition among physicians and healthcare givers is essential for better patient outcomes.

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