Purple urine bag syndrome
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Keywords

Urine
urinary tract infections
bacteriuria

How to Cite

1.
Villarraga Márquez NJ, Franco Pineda SM, Guarín Loaiza GM, Bastidas SJ, Castillo Mercado JS. Purple urine bag syndrome: Síndrome de la bolsa de orina púrpura. Rev. Colomb. Nefrol. [Internet]. 2020 Nov. 20 [cited 2022 May 18];8(1):e496. Available from: https://revistanefrologia.org/index.php/rcn/article/view/496

Abstract

Purple urine bag syndrome is a rare clinical condition, of unknown prevalence, with few reports published in our country that presents exclusively in catheterized patients with multiple risk factors, such as chronic kidney disease, neurological pathologies, residents of nursing homes and affects more females than males. The purple discoloration of urine is generated by indoxyl-sulfate degradation to indigo and indirubin lead by phosphatases/sulphatases enzymes produced by specific bacteria, associated to an alkaline urine environment, those two pigments combine which turns to purple discoloration appreciated in the urinary bag and catheter. The present case report is about a 75-year-old male, which appears with a classic clinical presentation. This case report has the objective, for health care workers, to remember the importance of basic care of urinary catheters, understand the underlying physiopathology and in consequence improve patient care.

https://doi.org/10.22265/acnef.8.1.496
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References

Naval E, Lleal C. Retención Aguda de Orina. Sociedad Española de Medicina de Familia y Comunitaria, Actualización en Medicina de Familia 2016; 12(3), 152-156. Recuperado de: http://amf-semfyc.com/web/article_ver.php?id=1528

Sarma AV, Wei JT. Benign Prostatic Hyperplasia and Lower Urinary Tract Symptoms. The New England Journal of Medicine 2012 Jul 19;367(3):248-257. https://doi.org/10.1056/NEJMcp1106637

Caravia I, Reyes R, De la Concepción O, Alonso L. Uropatía obstructiva. Revista Cubana de Cirugía 1997 Ene-Abr; 36(1): 5-6.

Su F, Chung S, Chen M, Sheng M, Chen C, Chen Y, et al. Case analysis of purple urine-bag syndrome at a long-term care service in a community hospital. Chang Gung medical journal 2005 Sep;28(9):636.

Zanetti M, Ku V, Ruíz J, González E. Síndrome de la bolsa de orina púrpura: Presentación de un caso. Cuadernos de Medicina Forense 2012 Dec 1;18(3-4):153-156. https://doi.org/10.4321/S1135-76062012000300014

Magallanes JO, Notario V. Síndrome de la orina púrpura. Revista Clínica de Medicina de Familia 2017 Oct 1;10(3):205-207.

Nicolle LE, Gupta K, Bradley SF, Colgan R, DeMuri GP, Drekonja D, et al. Clinical Practice Guideline for the Management of Asymptomatic Bacteriuria: 2019 Update by the Infectious Diseases Society of America. Clinical Infectious Diseases 2019 May 2;68(10):1611-1615. https://doi.org/10.1093/cid/ciz021

Lin CH, Huang HT, Chien CC, Tzeng DS, Lung FW. Purple urine bag syndrome in nursinghomes: Ten elderly case reports and a literature review. Clin Interv Aging. 2008;3(4):729-734.https://dx.doi.org/10.2147/cia.s3534

Martínez-Arias P, López-Freire JA, Sanz-Pozo B. Síndrome de la bolsa de orina púrpura.Med Gen Fam. 2017;6(6):258-9. https://dx.doi.org/10.24038/mgyf.2017.057

Vilaplana E, Marco E, Baltasar A. Síndrome de la bolsa de orina púrpura: planificación de cuidados. Gerokomos 2018;29(4):178-180

Barlow GB, Dickson JAS. Purple urine bags [letter]. The Lancet 1978; 311 (8057):220-1. https://doi.org/10.1016/S0140-6736(78)90667-0

Campbell SE, Izquierdo A, Campbell S, Erazo L, Calderón C. Síndrome de la bolsa de orina púrpura. Acta Médica Colombiana 2011 Jan 1;36(1):38-40. https://doi.org/10.36104/amc.2011.1516

Chung S, Liao C, Sun H. Purple urine bag syndrome with acidic urine. International Journal of Infectious Diseases 2008;12(5):526-527. https://doi.org/10.1016/j.ijid.2008.02.012

Iglesias R, Albiñana MS, Rodríguez I, Bilbao J. Síndrome de la bolsa de orina púrpura en dos pacientes institucionalizados. Revista Española de Geriatría y Gerontología 2012;48(1):45-47. https://doi.org/10.1016/j.regg.2012.09.004

Chassin-Trubert A. Síndrome de la bolsa de orina púrpura: un fenómeno inusual y muy llamativo. Revista médica de Chile 2014 Nov 1;142(11):1482-1484. https://doi.org/10.4067/S0034-98872014001100018

Plaçais L, Denier C. Purple Urine after Catheterization. N Engl J Med. 2019; 381 (18) : e33. https://dx.doi.org/10.1056/NEJMicm1905446

López M., Cortés J. Colonización e infección de la vía urinaria en el paciente críticamente enfermo. Medicina intensiva 2012 Mar 1;36(2):143-151. https://doi.org/10.1016/j.medin.2011.06.007

Fekete T. Catheter-associated urinary tract infection in adults. UpToDate 2020. 1-21.

Domínguez AR, Vélez M, Moreno MªA, Arrieta F, Bermejo T. Síndrome de la orina morada en bolsa en paciente anciana con suplementos nutricionales. Nutrición Hospitalaria 2012 Dec 1;27(6):2130-2132 https://dx.doi.org/10.3305/nh.2012.27.6.6054.

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