A Fascinating Case of the ‘Purple Urine Bag Syndrome’

  • Low Qin Jian MEDICAL SPECIALIST
  • Lim Tzyy Huei
  • Teoh Kuo Zhau
  • Garry Siow Peir Woeei
  • Go Zher Lin
  • Tee Vern Jun
  • Chew Soo Foong
  • Tan Nin Ern
  • Cheo Seng Wee
  • Tan Kee Nam
  • Ng Eng Kian
  • Wong Hoe Jiunn
  • Low Qin Jia
  • Tan Wei Lun

Abstract

Purple urine bag syndrome (PUBS) is a rare presentation of urinary tract infections (UTIs). It is commonly seen in constipated patients. There is a deep purple discoloration of contents of urine bag due to presence of indigo and indirubin pigments which are metabolites of tryptophan. We would like to describe an interesting case of purple urine bag syndrome of 88-year-old woman who presented with catheter-related urinary tract infection. She had low-grade fever and suprapubic discomfort for three days duration. She had increased white cell count and C-reactive peptide (CRP). Urinalysis showed protein 2+, nitrite and leucocyte esterase positive. Urine culture grew Escherichia coli and Klebsiella pneumoniae. She was treated with oral cefuroxime and recovered. This case report may be the first case of PUBS reported in this region.

Author Biographies

Low Qin Jian, MEDICAL SPECIALIST

MEDICAL DEPARTMENT OF HOSPITAL SULTANAH NORA ISMAIL, BATU PAHAT, JOHOR.

Lim Tzyy Huei

Hospital Sultanah Nora Ismail, Johor, Malaysia

Teoh Kuo Zhau

Hospital Sultanah Nora Ismail, Johor, Malaysia

Garry Siow Peir Woeei

Hospital Sultanah Nora Ismail, Johor, Malaysia 

Go Zher Lin

Hospital Melaka, Melaka, Malaysia 

Tee Vern Jun

Hospital Melaka, Melaka, Malaysia

Chew Soo Foong

Hospital Melaka, Melaka, Malaysia

Tan Nin Ern

Hospital Melaka, Melaka, Malaysia

Cheo Seng Wee

Hospital Lahad Datu, Sabah, Malaysia

Tan Kee Nam

Hospital Queen Elizabeth, Sabah, Malaysia

Ng Eng Kian

Hospital Tawau, Sabah, Malaysia

Wong Hoe Jiunn

Hospital Duchess of Kent, Sabah, Malaysia

Low Qin Jia

Klinik Kesihatan Dabong, Kelantan.

Tan Wei Lun

Klinik Kesihatan Dabong, Kelantan.

Published
2018-09-28
How to Cite
Jian, L., Tzyy Huei, L., Kuo Zhau, T., Siow Peir Woeei, G., Zher Lin, G., Vern Jun, T., Soo Foong, C., Nin Ern, T., Seng Wee, C., Kee Nam, T., Eng Kian, N., Hoe Jiunn, W., Qin Jia, L., & Wei Lun, T. (2018). A Fascinating Case of the ‘Purple Urine Bag Syndrome’. Borneo Journal of Medical Sciences (BJMS), 12(3), 59-62. Retrieved from https://jurcon.ums.edu.my/ojums/index.php/bjms/article/view/1138