<?xml version="1.0" encoding="UTF-8"?> <!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2d1 20170631//EN" "JATS-journalpublishing1.dtd"> <ArticleSet> <Article> <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> </AuthorList> <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&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> <References>Agapakis D, Massa E, Hantzis I, Paschoni E, Satsoglou E. Purple Urine Bag Syndrome: a case report of an alarming phenomenon. Hippokratia 2014; 18: 92-94. Al-Sardar H and Haroon D. Purple urinary bag syndrome. Am J Med 2009; 122: e1-2. Dealler SF, Hawkey PM, Millar MR. Enzymatic degradation of urinary indoxyl sulfate by Providencia stuartii and Klebsiella pneumoniae causes the purple urine bag syndrome. J Clin Microbiol 1988; 26: 2152-2156. Hsuan-Hwai Lin, Sheng-Jiun Li, Kao-Bin Su, and Lian-Shan Wu. Purple Urine Bag Syndrome?A Case Report and Review of the Literature. J Intern Med Taiwan 2002; 13: 209-212 Jones RA, Deacon HJ, Allen SC. Two cases and a short discussion of purple urine bag syndrome. CME Journal Geriatric Medicine 2003; 5: 84-87. Khan F, Chaudhry MA, Qureshi N, Cowley B. Purple urine bag syndrome: an alarming hue? A brief review of the literature. Int J Nephrol 2011; 2011: 419213. Lin CH, Huang HT, Chien CC, Tzeng DS, Lung FW. Purple urine bag syndrome in nursing homes: ten elderly case reports and a literature review. Clin Interv Aging 2008; 3: 729-734. Stott A, Khan M, Roberts C, Galpin IJ. Purple urine bag syndrome. Ann Clin Biochem 1987; 24: 185-188. Su FH, Chung SY, Chen MH, Sheng ML, Chen CH, Chen YJ, Chang WC, Wang LY, Sung KY. Case analysis of purple urine-bag syndrome at a long-term care service in a community hospital. Chang Gung Med J 2005; 28: 636-642. 1. National healthcare quality and disparities report- chartbook on patient safety. [Jun;2019]; 1. Comstock. CHARTBOOK ON. https://www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdrpatientsafetychartbook-2017update-090617.pdf 2017</References> </References> </Journal> </Article> </ArticleSet>