Purple Urine Bag Syndrome May Not Be Benign: A Case Report and Brief Review of the Literature
Purple urine bag syndrome (PUBS) is a rare condition in which there is purple discoloration of the urine with its collecting bag and associated tubing occurs. It is considered a benign condition. We report an unusual case of PUBS in an 87-year-old female from nursing home who had a history of recurr...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2013/863853 |
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| author | Mukul Bhattarai Hamid Bin Mukhtar Thomas Walter Davis Alok Silodia Hitekshya Nepal |
| author_facet | Mukul Bhattarai Hamid Bin Mukhtar Thomas Walter Davis Alok Silodia Hitekshya Nepal |
| author_sort | Mukul Bhattarai |
| collection | DOAJ |
| description | Purple urine bag syndrome (PUBS) is a rare condition in which there is purple discoloration of the urine with its collecting bag and associated tubing occurs. It is considered a benign condition. We report an unusual case of PUBS in an 87-year-old female from nursing home who had a history of recurrent UTI. She also had a history of ureteral obstruction requiring left nephrostomy tube. She was brought to emergency department with altered mental status which developed five days after the occurrence of purple discoloration of the urinary bag. Her urine culture grew vancomycin-resistant Enterococci (VRE) and Pseudomonas aeruginosa. She died within three days of hospitalization despite intensive care in tertiary center. This case highlights that PUBS may not always be benign and should be approached on a case-by-case basis because it may signal the underlying UTI which might be very difficult to treat. Failure of recognition of this peculiar color early could delay the appropriate intervention leading to fatal complication. This case also represents the rare occurrence of PUBS in the setting of nephrostomy tube. |
| format | Article |
| id | doaj-art-bed21acdfc73408fb9b877a14f3bd297 |
| institution | Kabale University |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-bed21acdfc73408fb9b877a14f3bd2972025-02-03T01:02:03ZengWileyCase Reports in Infectious Diseases2090-66252090-66332013-01-01201310.1155/2013/863853863853Purple Urine Bag Syndrome May Not Be Benign: A Case Report and Brief Review of the LiteratureMukul Bhattarai0Hamid Bin Mukhtar1Thomas Walter Davis2Alok Silodia3Hitekshya Nepal4Department of Internal Medicine, Geisinger Medical Center, 100 North Academy Avenue, Danville, PA 17822, USADepartment of Internal Medicine, Geisinger Medical Center, 100 North Academy Avenue, Danville, PA 17822, USADepartment of Internal Medicine, Geisinger Medical Center, 100 North Academy Avenue, Danville, PA 17822, USADepartment of Internal Medicine, Geisinger Medical Center, 100 North Academy Avenue, Danville, PA 17822, USAWoodside Family Health Center, 5718 Woodside Ave, NY 11377, USAPurple urine bag syndrome (PUBS) is a rare condition in which there is purple discoloration of the urine with its collecting bag and associated tubing occurs. It is considered a benign condition. We report an unusual case of PUBS in an 87-year-old female from nursing home who had a history of recurrent UTI. She also had a history of ureteral obstruction requiring left nephrostomy tube. She was brought to emergency department with altered mental status which developed five days after the occurrence of purple discoloration of the urinary bag. Her urine culture grew vancomycin-resistant Enterococci (VRE) and Pseudomonas aeruginosa. She died within three days of hospitalization despite intensive care in tertiary center. This case highlights that PUBS may not always be benign and should be approached on a case-by-case basis because it may signal the underlying UTI which might be very difficult to treat. Failure of recognition of this peculiar color early could delay the appropriate intervention leading to fatal complication. This case also represents the rare occurrence of PUBS in the setting of nephrostomy tube.http://dx.doi.org/10.1155/2013/863853 |
| spellingShingle | Mukul Bhattarai Hamid Bin Mukhtar Thomas Walter Davis Alok Silodia Hitekshya Nepal Purple Urine Bag Syndrome May Not Be Benign: A Case Report and Brief Review of the Literature Case Reports in Infectious Diseases |
| title | Purple Urine Bag Syndrome May Not Be Benign: A Case Report and Brief Review of the Literature |
| title_full | Purple Urine Bag Syndrome May Not Be Benign: A Case Report and Brief Review of the Literature |
| title_fullStr | Purple Urine Bag Syndrome May Not Be Benign: A Case Report and Brief Review of the Literature |
| title_full_unstemmed | Purple Urine Bag Syndrome May Not Be Benign: A Case Report and Brief Review of the Literature |
| title_short | Purple Urine Bag Syndrome May Not Be Benign: A Case Report and Brief Review of the Literature |
| title_sort | purple urine bag syndrome may not be benign a case report and brief review of the literature |
| url | http://dx.doi.org/10.1155/2013/863853 |
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