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The color purple: Purple urine bag syndrome: Identifying the phenomenon to ease unnecessary anxiety, fear, and distress

Published online by Cambridge University Press:  12 July 2023

Miguel Julião Open the ORCID record for Miguel Julião [Opens in a new window]  and
Mário Cruz
Miguel Julião*
Affiliation:
Equipa Comunitária de Suporte em Cuidados Paliativos de Sintra, Sintra, Portugal Inválidos do Comércio IPSS, Lisboa, Portugal
Mário Cruz
Affiliation:
Inválidos do Comércio IPSS, Lisboa, Portugal Escola de Psicologia e Ciências da Vida, Universidade Lusófona, Lisboa, Portugal USF Tapada, ACeS Sintra, Sintra, Portugal
*
Corresponding author: Miguel Julião; Email: [email protected]
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Abstract

Objectives

Purple urine bag syndrome (PUBS) is a condition that causes an intense purple discoloration of the urine, predominately in frail, dependent, and bedridden persons who are chronically catheterized and have urinary tract infections. Despite being considered a benign syndrome, PUBS can cause great anxiety, fear, and distress in health professionals, chronically ill persons, and caregivers or family members who provide care.

Methods

We report the case of a 98-year-old institutionalized woman with Alzheimer’s dementia with a long-term urinary catheter who developed PUBS.

Results

Although alarming and distressing for the resident and the health-care team, PUBS was resolved by treating the underlying urinary tract infection and applying good genital hygiene and catheter replacement.

Significance of results

Identifying PUBS and its clinical features and management proved to be significantly helpful in ameliorating the anxiety, fear, and distress around the phenomenon.

Keywords

Purple urine bag syndromeAlzheimer’s dementiaNursing homeChronic urinary catheterizationUrinary tract infectionConstipationDistressHealth-care professionalsResidentCaregivers
Type
Case Report
Information
Palliative & Supportive Care , Volume 22 , Issue 2 , April 2024 , pp. 424 - 426
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Copyright
© The Author(s), 2023. Published by Cambridge University Press.

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References

Barlow, GB and Dickson, JAS (1978) Purple urine bags. The Lancet 311, 220–221. doi:10.1016/S0140-6736(78)90667-0CrossRefGoogle Scholar
Bhattarai, M, Bin Mukhtar, H, Davis, TW, et al. (2013) Purple urine bag syndrome may not be benign: A case report and brief review of the literature. Case Reports in Infectious Diseases 2013, .CrossRefGoogle Scholar
Dealler, SF, Hawkey, PM and Millar, MR (1988) Enzymatic degradation of urinary indoxyl sulfate by Providencia stuartii and Klebsiella pneumoniae causes the purple urine bag syndrome. Journal of Clinical Microbiology 26, 2152–2156. doi:10.1128/jcm.26.10.2152-2156.1988CrossRefGoogle ScholarPubMed
Goyal, A, Garg, V and Jindal, J (2018) Purple urine bag syndrome: Series of nine cases and review of literature. Journal of Clinical and Diagnostic Research 12(10), PR01–PR03.Google Scholar
Kalsi, DS, Ward, J, Lee, R, et al. (2017) Purple urine bag syndrome: A rare spot diagnosis. Disease Markers 2017, . doi:10.1155/2017/9131872CrossRefGoogle ScholarPubMed
Khan, F, Chaudhry, MA, Qureshi, N, et al. (2011) Purple urine bag syndrome: An alarming hue? A brief review of the literature. International Journal of Nephrology 2011, . doi:10.4061/2011/419213CrossRefGoogle Scholar
Lin, CH, Huang, HT, Chien, CC, et al. (2008) Purple urine bag syndrome in nursing homes: Ten elderly case reports and a literature review. Clinical Interventions in Aging 3(4), 729–734. doi:10.2147/CIA.S3534Google ScholarPubMed
Su, YJ and Yang, HW (2019) Risk factors of mortality in patients with purple urine bag syndrome. Journal of Drug Assessment 8(1), 21–24. doi:10.1080/21556660.2019.1579727CrossRefGoogle ScholarPubMed
Tasi, YM, Huang, MS, Yang, CJ, et al. (2009) Purple urine bag syndrome, not always a benign process. The American Journal of Emergency Medicine 27(7), 895–897. doi:10.1016/j.ajem.2009.01.030CrossRefGoogle Scholar
Yang, HW and Su, YJ (2018) Trends in the epidemiology of purple urine bag syndrome: A systematic review. Biomedical Reports 8(3), 249–256.Google ScholarPubMed