Main Article Content
Background and Objectives: Purple urine-bag syndrome (PUBS) is uncommon syndrome which can be observed in patient with long-term indwelling urinary catheter with concomitant urinary tract infection (UTI). This case report aimed to review the pathogenesis and management of PUBS.
Case report: An 84-year-old Thai woman with bedridden state was admitted under the diagnosis of UTI with PUBS. Her risk factors of PUBS included elderly, female gender, bedridden state, chronic catheterization, chronic constipation, alkaline urine and UTI. The mechanism of pathogenesis and management of PUBS are described.
Conclusions: Awareness of this rare syndrome is crucial for health care providers so as to proper management and decreasing panic or anxiety of patients and caregivers.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Barlow GB, Dickan JAS. Purple urine bags. Lancet 1978;311:220-1.
Dealler SF, Hawkey PM, Millar MR. Enzymatic degration of urinary indoxyl sulfate by Providencia stuartii and Klebsiella pneumonia causes the purple urine bag syndrome. J Clin Microbiol 1988;26:2152-6.
Su FH, Chung SY, Chen MH, Sheng ML, Chen CH, Chen YJ, et al. Case analysis of purple urine-bag syndrome at a long-term care service in a community hospital. Chang Gung Med J 2005;28:636-42.
Lin CH, Huang HT, Chien CC, Tzeng DS, Lung FW. Purple urine bag syndrome in nursing homes: ten elderly case reports and a literature review. Clin Interv Aging 2008;3:729-34.
Laoopugsin S, Laoopugsin N, Subsuebwong T, Purple urine bag syndrome (PUBS): warning sign for urinary tract infection in patients with urinary catheterization. J Public Health Nurs 2018;32:166-77.
Tanratana P, Jiaranaikulwanich A. A 95-year-old male with purple urine. J Infect Dis Antimicrob Agents 2019;36:135-7.
Kalsi DS, Ward J, Lee R, Handa A. Purple urine bag syndrome: a rare spot diagnosis. Hindawi Dis Markers 2017;2017:9131872.
Peters P, Merlo J, Beech N, Giles C, Boon B, Parker B, et al. The purple urine bag syndrome: a visually striking side effect of a highly alkaline urinary tract infection. Can Urol Assoc J 2011;5:233-4.
Sabanis N, Paschou E, Papanikolaou P, Zagkotsis G. Purple urine bag syndrome: more than eyes can see. Curr Urol 2019;13:125-32.
Chung SD, Liao CH, Sun HD. Purple urine bag syndrome with acidic urine. Int J Infect Dis 2008;12:526-7.