A case of purple urin bag syndrome (PUBS) in an elderly patient

Purple urine bag syndrome (PUBS) is a rare condition that occurs predominantly in the elderly, immobilized and bearer of chronic bladder catheter. It is a phenomenon usually associated with urinary tract infection, particularly in the presence of high bacterial load. The presence of alkaline urine,...

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Main Authors: Rosa Paola Cerra, Alberto Castagna, Carlo Torchia, Raffaele Costa, Luigi Scalise, Edoardo Suraci, Giovanni Ruotolo
Format: Article
Language:English
Published: PAGEPress Publications 2020-06-01
Series:Geriatric Care
Subjects:
Online Access:https://www.pagepressjournals.org/index.php/gc/article/view/8934
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author Rosa Paola Cerra
Alberto Castagna
Carlo Torchia
Raffaele Costa
Luigi Scalise
Edoardo Suraci
Giovanni Ruotolo
author_facet Rosa Paola Cerra
Alberto Castagna
Carlo Torchia
Raffaele Costa
Luigi Scalise
Edoardo Suraci
Giovanni Ruotolo
author_sort Rosa Paola Cerra
collection DOAJ
description Purple urine bag syndrome (PUBS) is a rare condition that occurs predominantly in the elderly, immobilized and bearer of chronic bladder catheter. It is a phenomenon usually associated with urinary tract infection, particularly in the presence of high bacterial load. The presence of alkaline urine, constipation, high-protein diet and dehydration are predisposing factors. In most cases it is an asymptomatic condition. We described the case of an elderly patient admitted to the geriatric Department in which purple urine was found in the urine collection bag. The culture of urine showed the presence of infection with Klebsiella Pneumoniae. Targeted antibiotic treatment and proper hydration determined the resolution of the phenomenon and the resolution of the infection. Although it is an alarming phenomenon due to the particularity of the color of the urine, it is a treatable and solvable condition with an adequate specific antibiotic treatment. Prevention measures are equally effective and consist in eliminating the risk factors for this condition.
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spelling doaj.art-fdd79372781f41d7b0a18c757b62ad932022-12-22T00:41:17ZengPAGEPress PublicationsGeriatric Care2465-11092465-13972020-06-016210.4081/gc.2020.8934A case of purple urin bag syndrome (PUBS) in an elderly patientRosa Paola Cerra0Alberto Castagna1Carlo Torchia2Raffaele Costa3Luigi Scalise4Edoardo Suraci5Giovanni Ruotolo6SOC Geriatrics, Azienda Ospedaliera Pugliese-Ciaccio, CatanzaroCenter for Cognitive Disorders and Dementia - DSS Catanzaro, ASP CatanzaroSOC Geriatrics, Azienda Ospedaliera Pugliese-Ciaccio, CatanzaroSOC Geriatrics, Azienda Ospedaliera Pugliese-Ciaccio, CatanzaroSOC Geriatrics, Azienda Ospedaliera Pugliese-Ciaccio, CatanzaroSOC Geriatrics, Azienda Ospedaliera Pugliese-Ciaccio, CatanzaroSOC Geriatrics, Azienda Ospedaliera Pugliese-Ciaccio, CatanzaroPurple urine bag syndrome (PUBS) is a rare condition that occurs predominantly in the elderly, immobilized and bearer of chronic bladder catheter. It is a phenomenon usually associated with urinary tract infection, particularly in the presence of high bacterial load. The presence of alkaline urine, constipation, high-protein diet and dehydration are predisposing factors. In most cases it is an asymptomatic condition. We described the case of an elderly patient admitted to the geriatric Department in which purple urine was found in the urine collection bag. The culture of urine showed the presence of infection with Klebsiella Pneumoniae. Targeted antibiotic treatment and proper hydration determined the resolution of the phenomenon and the resolution of the infection. Although it is an alarming phenomenon due to the particularity of the color of the urine, it is a treatable and solvable condition with an adequate specific antibiotic treatment. Prevention measures are equally effective and consist in eliminating the risk factors for this condition.https://www.pagepressjournals.org/index.php/gc/article/view/8934Purple urine bag syndromeurinary infectionindoxyl sulfateintake of tryptophan.
spellingShingle Rosa Paola Cerra
Alberto Castagna
Carlo Torchia
Raffaele Costa
Luigi Scalise
Edoardo Suraci
Giovanni Ruotolo
A case of purple urin bag syndrome (PUBS) in an elderly patient
Geriatric Care
Purple urine bag syndrome
urinary infection
indoxyl sulfate
intake of tryptophan.
title A case of purple urin bag syndrome (PUBS) in an elderly patient
title_full A case of purple urin bag syndrome (PUBS) in an elderly patient
title_fullStr A case of purple urin bag syndrome (PUBS) in an elderly patient
title_full_unstemmed A case of purple urin bag syndrome (PUBS) in an elderly patient
title_short A case of purple urin bag syndrome (PUBS) in an elderly patient
title_sort case of purple urin bag syndrome pubs in an elderly patient
topic Purple urine bag syndrome
urinary infection
indoxyl sulfate
intake of tryptophan.
url https://www.pagepressjournals.org/index.php/gc/article/view/8934
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