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CASE REPORT
Year : 2018  |  Volume : 24  |  Issue : 4  |  Page : 534--536

Purple urine bag syndrome: A scary but easily manageable condition in a patient with prolonged indwelling urinary catheter

Dinesh Kumar1, Namrata Donga2, Rekha Macwan2 
1 Department of Community Medicine, Pramukhswami Medical College, Karamsad, Gujarat, India
2 Department of Palliative Care, Shree Krishna Hospital, Karamsad, Gujarat, India

Correspondence Address:
Dr. Dinesh Kumar
Department of Community Medicine, Pramukhswami Medical College, Karamsad - 388 325, Gujarat
India

“Purple urine bag syndrome” (PUBS) is a rare but distressing presentation of urinary tract infection (UTI) among moribund patients on indwelling urinary catheter. A 56-year-old woman with carcinoma of the left breast and metastasis in vertebrae and liver was bed ridden. She was on Foley's catheter for 9 months, with the last catheter changed 3 weeks back. A 75-year-old woman presented with non-Hodgkin's lymphoma for 2 years and moderately differentiated squamous cell carcinoma of the right parotid region (8 months). She experienced fall and fracture of femur, bed ridden, and on Foley's catheter for 7 years. She had facial wound with maggots for 3 days. Both the women developed purple-colored urine with no other symptoms of UTI. No investigations were carried out and they were empirically treated with nitrofurantoin, catheter change reassurance, and increased fluid intake. Urine color was normal by a week. PUBS can be managed easily at home with simple antibiotics, adequate hydration, and family/patient counseling in palliative care settings.


How to cite this article:
Kumar D, Donga N, Macwan R. Purple urine bag syndrome: A scary but easily manageable condition in a patient with prolonged indwelling urinary catheter.Indian J Palliat Care 2018;24:534-536


How to cite this URL:
Kumar D, Donga N, Macwan R. Purple urine bag syndrome: A scary but easily manageable condition in a patient with prolonged indwelling urinary catheter. Indian J Palliat Care [serial online] 2018 [cited 2019 Oct 18 ];24:534-536
Available from: http://www.jpalliativecare.com/article.asp?issn=0973-1075;year=2018;volume=24;issue=4;spage=534;epage=536;aulast=Kumar;type=0