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The Spot-on Purple Nuisance-Purple Urine Bag Syndrome

Yıl 2025, Cilt: 16 Sayı: 3, 99 - 101, 30.09.2025

Öz

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

Kaynakça

  • 1. Barlow G, Dickson J. Purple urine bags. The Lancet. 1978;311(8057):220-1.
  • 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.
  • 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.
  • 4. Katyal A, Menon AS. Purple urine bag syndrome in acidic urine! Amrita Journal of Medicine. 2021;17(4):146-8.
  • 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.
  • 6. Gunawardene MC, Ambegoda MC, Willaraarachchi MA, Abeygunasekera AM. Purple Urine Bag Syndrome: A Fascinating Cause for Purple Discoloration of Urine. 2021.
  • 7. Minami H, Ohe M, Furuya K. An Elderly Man with Purple Urine. Journal of Clinical and Experimental Investigations. 2021;12.
  • 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.
  • 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.

Spot-on Mor Rahatsızlık - Mor İdrar Torbası Sendromu

Yıl 2025, Cilt: 16 Sayı: 3, 99 - 101, 30.09.2025

Öz

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.

Kaynakça

  • 1. Barlow G, Dickson J. Purple urine bags. The Lancet. 1978;311(8057):220-1.
  • 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.
  • 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.
  • 4. Katyal A, Menon AS. Purple urine bag syndrome in acidic urine! Amrita Journal of Medicine. 2021;17(4):146-8.
  • 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.
  • 6. Gunawardene MC, Ambegoda MC, Willaraarachchi MA, Abeygunasekera AM. Purple Urine Bag Syndrome: A Fascinating Cause for Purple Discoloration of Urine. 2021.
  • 7. Minami H, Ohe M, Furuya K. An Elderly Man with Purple Urine. Journal of Clinical and Experimental Investigations. 2021;12.
  • 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.
  • 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.
Toplam 9 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Acil Tıp
Bölüm Case Report
Yazarlar

Evelyn Chau Yi Wen 0000-0002-8596-4890

Chun Chau Tan 0000-0003-2000-2452

Aireen Binti Zamhot 0009-0002-3295-0062

Yayımlanma Tarihi 30 Eylül 2025
Gönderilme Tarihi 4 Şubat 2025
Kabul Tarihi 13 Haziran 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 16 Sayı: 3

Kaynak Göster

APA Chau Yi Wen, E., Tan, C. C., & Zamhot, A. B. (2025). The Spot-on Purple Nuisance-Purple Urine Bag Syndrome. Journal of Emergency Medicine Case Reports, 16(3), 99-101. https://doi.org/10.33706/jemcr.1632783
AMA Chau Yi Wen E, Tan CC, Zamhot AB. The Spot-on Purple Nuisance-Purple Urine Bag Syndrome. Journal of Emergency Medicine Case Reports. Eylül 2025;16(3):99-101. doi:10.33706/jemcr.1632783
Chicago Chau Yi Wen, Evelyn, Chun Chau Tan, ve Aireen Binti Zamhot. “The Spot-on Purple Nuisance-Purple Urine Bag Syndrome”. Journal of Emergency Medicine Case Reports 16, sy. 3 (Eylül 2025): 99-101. https://doi.org/10.33706/jemcr.1632783.
EndNote Chau Yi Wen E, Tan CC, Zamhot AB (01 Eylül 2025) The Spot-on Purple Nuisance-Purple Urine Bag Syndrome. Journal of Emergency Medicine Case Reports 16 3 99–101.
IEEE E. Chau Yi Wen, C. C. Tan, ve A. B. Zamhot, “The Spot-on Purple Nuisance-Purple Urine Bag Syndrome”, Journal of Emergency Medicine Case Reports, c. 16, sy. 3, ss. 99–101, 2025, doi: 10.33706/jemcr.1632783.
ISNAD Chau Yi Wen, Evelyn vd. “The Spot-on Purple Nuisance-Purple Urine Bag Syndrome”. Journal of Emergency Medicine Case Reports 16/3 (Eylül2025), 99-101. https://doi.org/10.33706/jemcr.1632783.
JAMA Chau Yi Wen E, Tan CC, Zamhot AB. The Spot-on Purple Nuisance-Purple Urine Bag Syndrome. Journal of Emergency Medicine Case Reports. 2025;16:99–101.
MLA Chau Yi Wen, Evelyn vd. “The Spot-on Purple Nuisance-Purple Urine Bag Syndrome”. Journal of Emergency Medicine Case Reports, c. 16, sy. 3, 2025, ss. 99-101, doi:10.33706/jemcr.1632783.
Vancouver Chau Yi Wen E, Tan CC, Zamhot AB. The Spot-on Purple Nuisance-Purple Urine Bag Syndrome. Journal of Emergency Medicine Case Reports. 2025;16(3):99-101.