A Rare Case: Purple Urine Bag Syndrome
Letter to the Editor
DOI:
https://doi.org/10.5281/zenodo.17166775Keywords:
Purple Urine Bag, Constipation, Urinary Tract InfectionAbstract
Purple Urine Bag Syndrome (PUBS) is a rare condition resulting from the interaction of indigo (blue) and indirubin (red) pigments—produced via various metabolic pathways from tryptophan—with polyvinyl chloride (PVC) in urinary catheters. Constipation plays a significant role in the pathogenesis. In addition, it may occur in patients with urinary tract infections or those with long-term indwelling bladder catheters. Although it is generally a benign clinical condition, it may be an early indicator of a serious urinary tract infection.
References
Al Montasir A, Al Mustaque A. Purple urine bag syndrome. J Family Med Prim Care. 2013;2(1):104–105.
Khan F, Chaudhry MA, Qureshi N, Cowley B. Purple urine bag syndrome: A disturbing hue? A brief review of the literature. Int J Nephrol. 2011;2011:419213.
Worku DA. Purple urine bag syndrome: an unusual but important sign of urinary tract infection. A case report and literature review. SAGE Open Med Case Rep. 2019;7:2050313X18823105.
Van Keer J, Detroyer D, Bammens B. Purple urine bag syndrome in two elderly male patients with urinary tract infection. Case Rep Nephrol. 2015;2015:746981.
Traynor BP, Pomeroy E, Niall D. Purple urine bag syndrome: a case report and literature review. Oxf Med Case Reports. 2017;2017(11):omx059.
Kalsi DS, Ward J, Lee R, Handa A. Purple urine bag syndrome: a rare spot diagnosis. Dis Markers. 2017;2017:9131872.
Kocoglu H, Yildirim B, Okuturlar Y, Hursitoglu M, Harmankaya O. Purple urine bag syndrome in a male patient undergoing chronic hemodialysis. Balkan Med J. 2016;33(6):717–718.
Kumar D, Donga N, Macwan R. Purple urine bag syndrome: a frightening but easily manageable condition in a patient with a long-term indwelling urinary catheter. Indian J Palliat Care. 2018;24(4):534–536.
Mizrak M, Mizrak ÖY, Çelikbilek N, Başar E, Kocaaga M. Purple urine bag syndrome: a rare clinical case. Mikrobiyol Bul. 2019;53(4):457–463.
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