ABSTRACT
No disponible
Subject(s)
Humans , Female , Aged, 80 and over , Anuria/diagnosis , Asthenia/diagnosis , Ertapenem/administration & dosage , Diuresis , Urine/chemistry , Urinary Tract Infections/microbiology , Indigo Carmine/urine , Klebsiella pneumoniae/isolation & purification , Urinary Tract Infections/diagnosis , Anuria/complicationsABSTRACT
Purple urine bag syndrome (PUBS) is a rare condition characterised by urine discolouration. The management of PUBS remains controversial. Four females (mean age 84.5±9.7 years) with palliative conditions (two cancer and two non-cancer cases) presenting PUBS were identified. Urine bags were changed in all cases. Urinary catheters were changed in three cases. Oral antibiotics were prescribed in two cases and used in one case. Urine discolouration was resolved in all cases. One patient (without antibiotic treatment) died on day 5 after presentation of PUBS. Three patients (one out of three cases used oral antibiotics) were clinically stable after the management of PUBS. There was no recurrence of PUBS. Caring for patients with PUBS should be based on clinical decisions, patient status and the goals of care. Palliative care teams should focus on the prevention of PUBS by shortening the duration of catheterisation and minimising modifiable risk factors for this condition.
Subject(s)
Anti-Bacterial Agents/therapeutic use , Indigo Carmine/urine , Palliative Care/methods , Urinary Catheterization/adverse effects , Urinary Tract Infections/drug therapy , Urinary Tract Infections/etiology , Aged , Aged, 80 and over , Female , Humans , Indoles/urine , Treatment OutcomeSubject(s)
Tryptophan/metabolism , Urinary Catheterization , Urine , Color , Female , Humans , Indigo Carmine/urine , Indoles/urine , Middle Aged , Syndrome , Urinary Catheterization/adverse effectsABSTRACT
The urine colour change is an important clinical sign associated with patological process not only in the urinary tract. Apart from the commonest urine colour modifications due to metabolites of haemoglobin, myoglobin and bilirubin one may come accross with some less frequent changes. The violet urine coloration is very rare but represents the important clinical finding that is known as purple urine bag syndrome. The change of colour is made by indirubin and indigo. It is connected all the time with urine tract infection. In our presentation we describe a case where this sign was the only presentation of clinically important bacteriuria. Consequently antibiotic treatment could be given early before possible sepsis evolution.
