Purple urine bag syndrome: a case report

Abstract

Purple urine bag syndrome (PUBS) is a rare clinical entity. Few cases are described in the literature. It occurs in patients with predisposing factors. Herein, we reported a case of a PUBS in an 85-year-old femalepatient. She presented to the emergency room with confusion and oliguria over the past five days in a context of fever. Her pastmedical history was diabetes, hypertension and chronic kidney failure with preserved diuresis. Since two months, the patient was bedridden after aleft femur fracture.During her hospitalization, the urinary catheter placement revealed initially hematicurine, which became purplish next day that consisted with PUBS diagnosis. A multi-sensitive Klebsiella pneumoniae was isolated in the urine culture and treated by antibiotics with replacement of an indwelling catheter and urine bag. On the third day of antibiotic therapy, the urine reached gradually the normal color. The outcome was favorable.Purple urine bag syndrome must be recognized by the clinician to ensure an adequate patient management and avoid unnecessary explorations.