The purple urine bag syndrome, purple discoloration of urine, is an uncommon and alarming condition in patients requiring long-term urinary catheterization but the clinical course is usually benign. We report two cases of the syndrome with a literature review on its aetiology and management.
SuF.H., ChungS.Y., ChenM.H., ShengM.L., ChenC.H., ChenY.J.Case analysis of purple urine bag syndrome at a long-term care service in a community hospital. Chang Gung Med J2005; 28(9): 636–42.
3.
ShiaoC.C., WengC.Y., ChuangJ.C., HuangM.S., ChenZ.Y.Purple urine bag syndrome: a community-based study and literature review. Nephrology2008; 13(7): 554–9.
4.
LinC.H., HuangH.T., ChienC.C., TzengD.S., LungF.W.Purple urine bag syndrome in nursing homes: ten elderly case reports and a literature review. Clin Interv Aging2008; 3(4): 729–34.
5.
JonesR.A., DeaconH.J., AllenS.C.Two cases and a short discussion of purple urine bag syndrome. CME Geriatr Med2003; 5(2): 84–7.
6.
LinH.H., LiS.J., SuK.B., WuL.S.Purple urine bag syndrome: a case report and review of the literature. J Intern Med Taiwan2002; 13: 209–12.
7.
PearcyR.M., MitchellS.C., SmithR.L.Beetroot and red urine. Biochem Soc Trans1992; 20(1): 22S.
8.
TanC.K., WuY.P., WuH.Y., LaiC.C.Purple urine bag syndrome. CMAJ2008; 179(5): 491.
9.
SuY.J., LaiY.C., ChangW.H.Purple urine bag syndrome in a dead-on-arrival patient: case report and articles reviewsAm J Emerg Med2007; 25(7): 861.e5–6.
10.
ChiouY.K., YiangG.T., WangC.H., LiaoC.S., HsuB.G.Purple urine bag syndrome: a case report. Tzu Chi Med J2005; 17(4): 279–81.
11.
Bar-OrD., RaelL.T., Bar-OrR., CraunM.L., StatzJ., GarrettR.E.Mass spectrometry analysis of urine and catheter of a patient with purple urinary bag syndromeClin Chim Acta2007; 378(1-2): 216–8.
12.
PillaiR.N., ClavijoJ., NarayananM., ZamanK.An association of purple urine bag syndrome with intussusception. Urology2007; 70(4): 812.e1–2.
13.
HildrethT.A., CassA.S.Blue collection bag after ileal diversion. Urology1978; 11(2): 168–9.
14.
MuneokaK., IgawaM., KuriharaN., KidaJ., MikamiT., IshiharaI.Biochemical and bacteriological investigation of six cases of purple urine bag syndrome (PUBS) in a geriatric ward for dementia. Nippon Ronen Igakkai Zasshi2008; 45(5): 511–9.
15.
IhamaY., HokamaA.Purple urine bag syndrome. Urology2002; 60(5): 910.
16.
ChungS.D., LiaoC.H., SunH.D.Purple urine bag syndrome with acidic urine. Int J Infect Dis2008; 12(5): 526–7.
17.
Vallejo-ManzurF., Mireles-CabodevilaE., VaronJ.Purple urine bag syndrome. Am J Emerg Med2005; 23(4): 521–4.
18.
TangM.W.Purple urine bag syndrome in geriatric patients. J Am Geriatr Soc2006; 54(3): 560–1.
19.
BeunkJ., LambertM., MetsT.The purple urine bag syndrome. Age Ageing2006; 35(5): 542.
