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Violet discoloration of urine: A case report and a literature review

BACKGROUND: Purple Urine Bag Syndrome (PUBS) is an uncommon event that can be described as purple discoloration of urine due to a series of chemical reactions induced by Urinary Tract Infections (UTIs). PUBS has been reported in the past but still remains unrecognized by healthcare givers leading to...

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Autores principales: Saraireh, Muthanna, Gharaibeh, Sahem, Araydah, Mohammad, Al Sharie, Sarah, Haddad, Fadi, Alrababah, Arqam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8321942/
https://www.ncbi.nlm.nih.gov/pubmed/34354830
http://dx.doi.org/10.1016/j.amsu.2021.102570
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author Saraireh, Muthanna
Gharaibeh, Sahem
Araydah, Mohammad
Al Sharie, Sarah
Haddad, Fadi
Alrababah, Arqam
author_facet Saraireh, Muthanna
Gharaibeh, Sahem
Araydah, Mohammad
Al Sharie, Sarah
Haddad, Fadi
Alrababah, Arqam
author_sort Saraireh, Muthanna
collection PubMed
description BACKGROUND: Purple Urine Bag Syndrome (PUBS) is an uncommon event that can be described as purple discoloration of urine due to a series of chemical reactions induced by Urinary Tract Infections (UTIs). PUBS has been reported in the past but still remains unrecognized by healthcare givers leading to misdiagnosis and inappropriate management. We report our case alongside a literature review of previously published cases. CASE PRESENTATION: We present the first case report of Purple Urine Bag Syndrome in Jordan of a catheterized 80-year-old wheel-chaired female with a history of type 2 Diabetes Mellitus (DM), stage 5 Chronic Kidney Disease (CDK), Hypertension, and ischemic stroke. Her condition was initially misdiagnosed for hematuria but later on was correctly diagnosed with PUBS. She was treated with a course of appropriate antibiotic and by changing her urinary catheter and bag. The patient returned for a follow up visit and her problem resolved with the color of her urine in the urine bag returning back to normal. CLINICAL DISCUSSION: PUBS is an uncommon event that occurs in association with UTIs. Such cases are mostly seen in elderly catheterized patients with other risk factors. CONCLUSION: Purple Urine Bag Syndrome can be managed by changing urinary catheter, and by the administration of appropriate antibiotics. Such event can be easily misdiagnosed thus leading to unnecessary and consuming measures. Creating a better awareness of this condition among physicians and healthcare givers is essential for better patient outcomes.
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spelling pubmed-83219422021-08-04 Violet discoloration of urine: A case report and a literature review Saraireh, Muthanna Gharaibeh, Sahem Araydah, Mohammad Al Sharie, Sarah Haddad, Fadi Alrababah, Arqam Ann Med Surg (Lond) Case Report BACKGROUND: Purple Urine Bag Syndrome (PUBS) is an uncommon event that can be described as purple discoloration of urine due to a series of chemical reactions induced by Urinary Tract Infections (UTIs). PUBS has been reported in the past but still remains unrecognized by healthcare givers leading to misdiagnosis and inappropriate management. We report our case alongside a literature review of previously published cases. CASE PRESENTATION: We present the first case report of Purple Urine Bag Syndrome in Jordan of a catheterized 80-year-old wheel-chaired female with a history of type 2 Diabetes Mellitus (DM), stage 5 Chronic Kidney Disease (CDK), Hypertension, and ischemic stroke. Her condition was initially misdiagnosed for hematuria but later on was correctly diagnosed with PUBS. She was treated with a course of appropriate antibiotic and by changing her urinary catheter and bag. The patient returned for a follow up visit and her problem resolved with the color of her urine in the urine bag returning back to normal. CLINICAL DISCUSSION: PUBS is an uncommon event that occurs in association with UTIs. Such cases are mostly seen in elderly catheterized patients with other risk factors. CONCLUSION: Purple Urine Bag Syndrome can be managed by changing urinary catheter, and by the administration of appropriate antibiotics. Such event can be easily misdiagnosed thus leading to unnecessary and consuming measures. Creating a better awareness of this condition among physicians and healthcare givers is essential for better patient outcomes. Elsevier 2021-07-16 /pmc/articles/PMC8321942/ /pubmed/34354830 http://dx.doi.org/10.1016/j.amsu.2021.102570 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Saraireh, Muthanna
Gharaibeh, Sahem
Araydah, Mohammad
Al Sharie, Sarah
Haddad, Fadi
Alrababah, Arqam
Violet discoloration of urine: A case report and a literature review
title Violet discoloration of urine: A case report and a literature review
title_full Violet discoloration of urine: A case report and a literature review
title_fullStr Violet discoloration of urine: A case report and a literature review
title_full_unstemmed Violet discoloration of urine: A case report and a literature review
title_short Violet discoloration of urine: A case report and a literature review
title_sort violet discoloration of urine: a case report and a literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8321942/
https://www.ncbi.nlm.nih.gov/pubmed/34354830
http://dx.doi.org/10.1016/j.amsu.2021.102570
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