Abstract

LOPEZ RIOS, Valery; RUIZ MORALES, Jhon Jairo; TRUJILLO FLOREZ, Daniel Alberto  and  BARRIOS ARROYAVE, Freddy Andrés. Purple Urine Bag Syndrome. Case report and literature review. Medicas UIS [online]. 2021, vol.34, n.2, pp.83-88.  Epub Sep 28, 2021. ISSN 0121-0319.  https://doi.org/10.18273/revmed.v34n2-2021008.

Purple urine bag syndrome is a rare entity, with a prevalence of up to 8% in patients with chronic indwelling catheters for more than 2 years. This condition occurs in bladder catheter carriers, being the main clinical sign the appearance of purple urine, due to the production of sulphatases and phosphatases by Enterobacteriaceae. We present a clinical case of a 63-year-old woman with a diagnosis of neurogenic bladder and a history of cerebrovascular disease and motor sequelae due to brain neoplasia, who consulted for presenting that urine characteristic color, with symptoms of lower urinary tract infection. She was treated with nitrofurantoin and she had normalization of urinary color on the fifth day of treatment. The diagnosis of this syndrome implies a challenge for the physician, and risk factors must be detected to provide adequate antimicrobial management and avoid the use of unnecessary diagnostic resources. MÉD.UIS.2021;34(2): 83-8.

Keywords : Urinary Catheterization; Enterobacteriaceae; Urinary Tract Infections; Purple urine bag syndrome.

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