TY - JOUR T1 - The Spot-on Purple Nuisance-Purple Urine Bag Syndrome TT - Spot-on Mor Rahatsızlık - Mor İdrar Torbası Sendromu AU - Chau Yi Wen, Evelyn AU - Tan, Chun Chau AU - Zamhot, Aireen Binti PY - 2025 DA - September Y2 - 2025 DO - 10.33706/jemcr.1632783 JF - Journal of Emergency Medicine Case Reports PB - Acil Tıp Uzmanları Derneği WT - DergiPark SN - 2149-9934 SP - 99 EP - 101 VL - 16 IS - 3 LA - en AB - Introduction: Purple Urine Bag Syndrome (PUBS) is a rare and often overlooked condition, marked by the purple discoloration of urine, primarily seen in patients with urinary catheterization. Case report: We present two cases of PUBS, involving elderly, bed-bound patients with permanent urethra catheters who presented to the Emergency Department with urinary tract infections. Both cases were managed effectively with broad-spectrum antibiotics.Conclusion: The condition arises due to bacterial production of phosphatase and sulfatase, leading to the formation of purple pigment in the urine. While the slight of purple urine may be alarming, PUBS often responds well to prompt diagnosis and proper treatment, leading to favourable outcomes.Keywords: Purple Urine Bag Syndrome, Prolonged Bladder Catheterisation, Purple Urine, Urinary Tract Infection KW - Purple Urine Bag Syndrome KW - Prolonged Bladder Catheterisation KW - Purple Urine KW - Urinary Tract Infection N2 - Giriş: Mor İdrar Torbası Sendromu (PUBS), öncelikle idrar sondası takılan hastalarda görülen, idrarın mor renk almasıyla kendini gösteren nadir ve sıklıkla gözden kaçan bir durumdur. Vaka raporu: Acil servise idrar yolu enfeksiyonu nedeniyle başvuran, kalıcı üretra kateteri bulunan, yatağa bağımlı yaşlı hastaları içeren iki PUBS vakasını sunuyoruz. Her iki vaka da geniş spektrumlu antibiyotiklerle etkili bir şekilde tedavi edildi.Sonuç: Bu durum bakteriyel fosfataz ve sülfataz üretimi sonucu ortaya çıkmakta ve idrarda mor pigment oluşumuna yol açmaktadır. Hafif mor idrar endişe verici olsa da, PUBS sıklıkla hızlı tanı ve uygun tedaviye iyi yanıt vererek olumlu sonuçlara yol açar. CR - 1. Barlow G, Dickson J. Purple urine bags. The Lancet. 1978;311(8057):220-1. CR - 2. Fu-Hsiung Su B, Shin-Yi Chung R, Mey-Huy Chen R, Mei- Ling Sheng R, Ching-Hao Chen R, Ya-Jung Chen R, 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(9):636-42. CR - 3. Hadano Y, Shimizu T, Takada S, Inoue T, Sorano S. An update on purple urine bag syndrome. International journal of general medicine. 2012:707-10. CR - 4. Katyal A, Menon AS. Purple urine bag syndrome in acidic urine! Amrita Journal of Medicine. 2021;17(4):146-8. CR - 5. Neniwal VK, Swain S, Rulaniya SK, Hota D, Agarwal P, Yadav PK. Purple urine bag syndrome: An unusual manifestation of urinary tract infection, our experience at a tertiary care center. Current Urology. 2023;17(2):125-9. CR - 6. Gunawardene MC, Ambegoda MC, Willaraarachchi MA, Abeygunasekera AM. Purple Urine Bag Syndrome: A Fascinating Cause for Purple Discoloration of Urine. 2021. CR - 7. Minami H, Ohe M, Furuya K. An Elderly Man with Purple Urine. Journal of Clinical and Experimental Investigations. 2021;12. CR - 8. Mehrotra S, Prasad K, Kumar MB, Ray P, Pruthvi C, Gawalkar A, et al. Purple pleural fluid. Indian Journal of Pathology and Microbiology. 2022;65(1):213-4. CR - 9. Saraireh M, Gharaibeh S, Araydah M, Al Sharie S, Haddad F, Alrababah A. Violet discoloration of urine: A case report and a literature review. Annals of Medicine and Surgery. 2021;68:102570. UR - https://doi.org/10.33706/jemcr.1632783 L1 - https://dergipark.org.tr/tr/download/article-file/4577879 ER -