Sabeel Iftikhar Ahmed1, Mir Abdul Waheed2, Sara Shah1, Syed Yar Muhammad Shah3, Hassan Mumtaz4. 1. Emergency Medicine, Maroof International Hospital, Islamabad, Pakistan. 2. Emergency Medicine, Maroof International Hospital, Islamabad, Pakistan. Electronic address: Mir.waheed@maroof.com.pk. 3. Ayub Teaching Hospital, Abbottabad, Khyber Pakhtunkhwa, Pakistan. 4. Maroof International Hospital, Islamabad, Pakistan; Health Services Academy, Islamabad, Pakistan. Electronic address: Hassanmumtaz.dr@gmail.com.
Abstract
INTRODUCTION: Purple Urine Bag Syndrome (PUBS) is purple discoloration of urine and is common in bedridden patients with long-term urinary catheter. Although typically benign, the purple discoloration is alarming to both the patients and their attendants. CASE REPORT: This case report presents an uncommon case of PUBS in a 74-year-old lady with hypertension, type II diabetes and ischemic stroke from last 2 years. She has neurogenic bladder and has been catheterized from last 2 years. Her last catheter was changed 15 days back. She presented to the emergency room with complaints of change in color of urine with low grade fever from last 1 week. on clinical examination there was one bed sore on lumbar region that was grade 1 with pus oozing from base of ulcer. CLINICAL DISCUSSION: PUBS is generally associated with alkaline urine and in patients who was chronically catheterized as was observed in this patient, although it has also been reported in acidic urine. CONCLUSION: PUBS is a rare manifestation of urinary tract infection with an alarming appearance and can be a source of anxiety for patients and their families. Being asymptomatic and comparatively benign, purple discoloration is simply an indicator of underlying bacteriuria and is of no prognostic value.
INTRODUCTION: Purple Urine Bag Syndrome (PUBS) is purple discoloration of urine and is common in bedridden patients with long-term urinary catheter. Although typically benign, the purple discoloration is alarming to both the patients and their attendants. CASE REPORT: This case report presents an uncommon case of PUBS in a 74-year-old lady with hypertension, type II diabetes and ischemic stroke from last 2 years. She has neurogenic bladder and has been catheterized from last 2 years. Her last catheter was changed 15 days back. She presented to the emergency room with complaints of change in color of urine with low grade fever from last 1 week. on clinical examination there was one bed sore on lumbar region that was grade 1 with pus oozing from base of ulcer. CLINICAL DISCUSSION: PUBS is generally associated with alkaline urine and in patients who was chronically catheterized as was observed in this patient, although it has also been reported in acidic urine. CONCLUSION: PUBS is a rare manifestation of urinary tract infection with an alarming appearance and can be a source of anxiety for patients and their families. Being asymptomatic and comparatively benign, purple discoloration is simply an indicator of underlying bacteriuria and is of no prognostic value.
Authors: Peter Peters; Jessica Merlo; Nicholas Beech; Chantelle Giles; Bonita Boon; Brian Parker; Craig Dancer; Wendy Munckhof; H S Teng Journal: Can Urol Assoc J Date: 2011-08 Impact factor: 1.862