Purple urine bag syndrome
Keywords:
púrpura, cateterismo urinario, infecciones urinarias, bacterias, anciano.Abstract
Introduction: Purple urine bag syndrome is a striking condition that rarely occurs in clinical practice. It appears in the context of urinary infections in the elderly, with multiple pathologies, with a bladder catheter and associated risk factors. It is produced by a chemical reaction between urine, the plastic material of the collection bag and sulfatase/ phosphatase enzymes from bacteria that generate the characteristic purple color.Objective: To report a case with purple urine bag syndrome as an unusual presentation of urinary tract infection.
Clinical Case: Female patient, 76 years old, health history, usual constipation, attended at Emergency due to loss of consciousness and right hemiparesis. Computed axial tomography of the skull was performed and a cerebrovascular disease was diagnosed. As part of the conduct, a bladder catheter was indicated and after 14 days, purple urine appeared in the collection bag. Urinary infection due to Escherichia coli was diagnosed and treated with ceftriaxone, normalizing the color of the urine on the third day of treatment, with patient favorable evolution.
Conclusions: Although it can be easily identified and without requiring costly tests, it is a challenge for physicians who care for geriatric patients. Knowing this disorder is essential because, although rare, it may be the only manifestation of urinary infection in patients with urethral catheterization.
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References
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2. Barlow GB, Dickson JAS. Purple urine bags. The Lancet. 1978; 311(8057):220-1. DOI: 10.1016/s0022-5347(17)38882-1.
3. López Rios V, Ruiz Morales JJ, Trujillo Flórez DA, Barrios Arroyave FA. Síndrome de la Bolsa de Orina Púrpura. Reporte de caso y revisión de la literatura. Medicas UIS. 2021 [acceso: 15/04/2022]; 34(2):83-8. Disponible en: https://revistas.uis.edu.co/index.php/revistamedicasuis/article/view/12664
4. Sabanis N, Paschou E, Papanikolaou P, Zagkotsis G. Purple Urine Bag Syndrome: More Than Eyes Can See. Current urology. 2019; 13(3):125-32. DOI: 10.1159/000499281
5. Alba Gago I, Vicente López O, Montero San Millán R. Síndrome de orina purpura: a propósito de un caso. Atención Primaria. 2021; 53 (4):1-2. DOI: 10.1016/j.aprim.2021.101976
6. Fernández Casteleiro E, Romero Cabrera A, Quintana López B. Síndrome de la bolsa de orina púrpura. Presentación de un caso. Medisur. 2016 [acceso: 11/04/2022]; 14(1): 64-6. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1727-897X2016000100012
7. Duarte Arzuaga YA, Rodriguez RG. Purple urine bag syndrome. Arch Urol Res. 2020 [acceso: 06/04/2022]; 4(1):45-6. Disponible en: https://www.researchgate.net/profile/Yoeli-Antonio-Duarte-Arzuaga/publication/342099914_Purple_urine_bag_syndrome/links/5f1c9070-299bf1720d65751e/Purple-urine-bag-syndrome.pdf
8. Villarraga Márquez NJ, Franco Pineda SM, Guarín Loaiza GM, Jurado Bastidas S, Castillo Mercado JS. Síndrome de la bolsa de orina púrpura. Rev. Colomb. Nefrol. 2021; 8(1): e496. DOI: 10.22265/acnef.8.1.496
9. Lin CH, Huang HT, Chien CC, Tzeng DS, Lung FW. Purple urine bag síndrome in nursing homes: Clin Interv Aging. 2008 [acceso: 15/04/2022]; 3(4): 29-34. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2682405/
10. Therán León JS, Esteban Badillo LY, Garcia Brilla MF, Dulcey Sarmiento LA. Síndrome de la bolsa de orina purpura. Atención Primaria Práctica. 2022; 4(1):100113. DOI: 10.1016/j.appr.2021.100113
11. Worku DA. Purple urine bag syndrome: An unusual but important manifestation of urinary tract infection. Case report and literatura review. SAGE Open Med Case Rep. 2019; 7:2050313X18823105. DOI: 10.1177/2050313X18823105
Published
2023-04-05
How to Cite
1.
Yllodo Cristo A, Leyva Pupo LV, Zayas Fundora E, Josefa Franchi B, Cristo Pérez V, Yllodo Hernández O. Purple urine bag syndrome. Rev Cubana Med Milit [Internet]. 2023 Apr. 5 [cited 2025 Jan. 10];52(2):e02302603. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/2603
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