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    <Journal>
      <PublisherName>jmedicalcasereports</PublisherName>
      <JournalTitle>Frontiers in Medical Case Reports</JournalTitle>
      <PISSN>I</PISSN>
      <EISSN>S</EISSN>
      <Volume-Issue>Volume 2; Issue 5</Volume-Issue>
      <PartNumber/>
      <IssueTopic>Multidisciplinary</IssueTopic>
      <IssueLanguage>English</IssueLanguage>
      <Season>(Sep-Oct, 2021)</Season>
      <SpecialIssue>N</SpecialIssue>
      <SupplementaryIssue>N</SupplementaryIssue>
      <IssueOA>Y</IssueOA>
      <PubDate>
        <Year>-0001</Year>
        <Month>11</Month>
        <Day>30</Day>
      </PubDate>
      <ArticleType>Medical Case Reports</ArticleType>
      <ArticleTitle>Visually Striking and Alarming Phenomenon – Case Report of Purple Urine Bag Syndrome</ArticleTitle>
      <SubTitle/>
      <ArticleLanguage>English</ArticleLanguage>
      <ArticleOA>Y</ArticleOA>
      <FirstPage>1</FirstPage>
      <LastPage>5</LastPage>
      <AuthorList>
        <Author>
          <FirstName>Priya</FirstName>
          <LastName>Patel</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>N</CorrespondingAuthor>
          <ORCID/>
        </Author>
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      <DOI/>
      <Abstract>Purple urine bag syndrome has been identified since 1978 with higher prevalence among those individuals who reside in nursing homes and those with a long-term indwelling Foley catheter. In addition to prolonged catheterization and institutionalization, the female gender, alkaline urine, and chronic constipation are other predisposing factors. Purple urine bag syndrome is also associated with bacterial urinary tract infections that produce enzymes, sulphatase and phosphatase involved in the breakdown of tryptophan. The final metabolites include indigo, which has a blue hue, and indirubin with a red hue, which when mixed, produce a purple color. Treatment includes antibiotics for the associated urinary tract infection as well as exchange of the Foley catheter and appropriate catheter care using proper sterile technique. However, there are no set guidelines instructing how aggressively to treat. The patient is a 60-year-old male who presented to the hospital for clogged chronic Foley catheter who developed purple urine bag syndrome.</Abstract>
      <AbstractLanguage>English</AbstractLanguage>
      <Keywords>Purple Urine,Catheter Associated Urinary Tract Infection,Tryptophan,Sulphatase,Phosphatase,Escherichia Coli,Provedencia Stuartii</Keywords>
      <URLs>
        <Abstract>https://jmedicalcasereports.org/ubijournal-v1copy/journals/abstract.php?article_id=13303&amp;title=Visually Striking and Alarming Phenomenon – Case Report of Purple Urine Bag Syndrome</Abstract>
      </URLs>
      <References>
        <ReferencesarticleTitle>References</ReferencesarticleTitle>
        <ReferencesfirstPage>16</ReferencesfirstPage>
        <ReferenceslastPage>19</ReferenceslastPage>
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      </References>
    </Journal>
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