Purple urine bag syndrome – rare but substantial symptom of urinary infection

Česká verzia

Authors: Ondřej Hloch; Daša Gladišová; Miroslava Horáčková
Authors place of work: Interní klinika 2. LF UK a FN Motol Praha, přednosta prof. MUDr. Milan Kvapil CSc., MBA
Published in the journal: Vnitř Lék 2014; 60(5-6): 512-513
Category: Case Report

Summary

The urine colour change is an important clinical sign associated with patological process not only in the urinary tract. Apart from the commonest urine colour modifications due to metabolites of haemoglobin, myoglobin and bilirubin one may come accross with some less frequent changes. The violet urine coloration is very rare but represents the important clinical finding that is known as purple urine bag syndrome. The change of colour is made by indirubin and indigo. It is connected all the time with urine tract infection. In our presentation we describe a case where this sign was the only presentation of clinically important bacteriuria. Consequently antibiotic treatment could be given early before possible sepsis evolution.

Key words:
chronic catheterization – indigo – indirubin – purple urine bag syndrome – urinary tract infections

Zdroje

1. Barlow GB, Dickson JAS. Purple urine bags. Lancet 1978; 311(8057): 220–221.

2. Sammons HG, Skinner C, Fields J et al. Purple urine bags. Lancet 1978; 311(8062): 502.

3. Lin CH, Huang HT, Chien CC et al. Purple urine bag syndrome in nursing homes, ten eldery case reports and literature review. Clin Interv Aging 2008; 3(4): 729–734.

4. Dealler SF, Hawkez PM, Millar MR. Enyzmatic degradation of urinary indoxyl sulfate by Providencia stuartii and Klebsiella pneumoniae causes the purple urine bag syndrome. J Clin Microbiol 1988; 26(10): 2152–2156.

5. Ribeiro JP, Marcelino P, Marum S et al. Case report: purple urine bag syndrome. Crit Care 2004; 8(3): R137. Dostupné z DOI: <http://doi: 10.1186/cc2853>.

6. Pillai BP, Chong VH, Yong AML. Purple urine bag syndrome. Singapore Med J 2009; 50(5): e193-e194.