Vnitr Lek 2014, 60(5-6):512-513
Purple urine bag syndrome - rare but substantial symptom of urinary infection
- Interní klinika 2. LF UK a FN Motol Praha, přednosta prof. MUDr. Milan Kvapil CSc., MBA
The urine colour change is an important clinical sign associated with patological process not only in the urinary tract. Apart from the commonest urine colour modifications due to metabolites of haemoglobin, myoglobin and bilirubin one may come accross with some less frequent changes. The violet urine coloration is very rare but represents the important clinical finding that is known as purple urine bag syndrome. The change of colour is made by indirubin and indigo. It is connected all the time with urine tract infection. In our presentation we describe a case where this sign was the only presentation of clinically important bacteriuria. Consequently antibiotic treatment could be given early before possible sepsis evolution.
Keywords: chronic catheterization; indigo; indirubin; purple urine bag syndrome; urinary tract infections
Received: December 18, 2013; Accepted: February 8, 2014; Published: May 1, 2014 Show citation
References
- Barlow GB, Dickson JAS. Purple urine bags. Lancet 1978; 311(8057): 220-221.
Go to original source...
- Sammons HG, Skinner C, Fields J et al. Purple urine bags. Lancet 1978; 311(8062): 502.
Go to original source...
- Lin CH, Huang HT, Chien CC et al. Purple urine bag syndrome in nursing homes, ten eldery case reports and literature review. Clin Interv Aging 2008; 3(4): 729-734.
Go to original source...
Go to PubMed...
- Dealler SF, Hawkez PM, Millar MR. Enyzmatic degradation of urinary indoxyl sulfate by Providencia stuartii and Klebsiella pneumoniae causes the purple urine bag syndrome. J Clin Microbiol 1988; 26(10): 2152-2156.
Go to original source...
Go to PubMed...
- Ribeiro JP, Marcelino P, Marum S et al. Case report: purple urine bag syndrome. Crit Care 2004; 8(3): R137. Dostupné z DOI: <http://doi:10.1186/cc2853>.
Go to original source...
Go to PubMed...
- Pillai BP, Chong VH, Yong AML. Purple urine bag syndrome. Singapore Med J 2009; 50(5): e193-e194.
Go to PubMed...