A case of purple urine bag syndrome in an elderly patient

  • Rosa Paola Cerra SOC Geriatrics, Azienda Ospedaliera Pugliese-Ciaccio, Catanzaro, Italy.
  • Alberto Castagna | albertocastagna@tiscali.it Center for Cognitive Disorders and Dementia - DSS Catanzaro, ASP Catanzaro, Italy.
  • Carlo Torchia SOC Geriatrics, Azienda Ospedaliera Pugliese-Ciaccio, Catanzaro, Italy.
  • Raffaele Costa SOC Geriatrics, Azienda Ospedaliera Pugliese-Ciaccio, Catanzaro, Italy.
  • Luigi Scalise SOC Geriatrics, Azienda Ospedaliera Pugliese-Ciaccio, Catanzaro, Italy.
  • Edoardo Suraci SOC Geriatrics, Azienda Ospedaliera Pugliese-Ciaccio, Catanzaro, Italy.
  • Giovanni Ruotolo SOC Geriatrics, Azienda Ospedaliera Pugliese-Ciaccio, Catanzaro, Italy.

Abstract

Purple urine bag syndrome is a rare condition that occurs predominantly in the elderly, immobilized and bearer of chronic bladder catheter. It is a phenomenon usually associated with urinary tract infection, particularly in the presence of high bacterial load. The presence of alkaline urine, constipation, high-protein diet and dehydration are predisposing factors. In most cases it is an asymptomatic condition. We described the case of an elderly patient admitted to the geriatric Department in which purple urine was found in the urine collection bag. The culture of urine showed the presence of infection with Klebsiella pneumoniae. Targeted antibiotic treatment and proper hydration determined the resolution of the phenomenon and the resolution of the infection. Although it is an alarming phenomenon due to the particularity of the color of the urine, it is a treatable and solvable condition with an adequate specific antibiotic treatment. Prevention measures are equally effective and consist in eliminating the risk factors for this condition.

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Published
2020-06-15
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Section
Case Reports
Keywords:
Purple urine bag syndrome, urinary infection, indoxyl sulfate, intake of tryptophan.
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How to Cite
Cerra, R. P., Castagna, A., Torchia, C., Costa, R., Scalise, L., Suraci, E., & Ruotolo, G. (2020). A case of purple urine bag syndrome in an elderly patient. Geriatric Care, 6(3). https://doi.org/10.4081/gc.2020.8934

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