Department of Medicine, Raja Isteri Pengiran Anak Saleha Hospital, Bandar Seri Begawan BA 1710, Brunei Darussalam.
Am J Emerg Med. 2013 Jan;31(1):265.e5-6. doi: 10.1016/j.ajem.2012.04.010. Epub 2012 Jul 15.
Discoloration of urine can be alarming and may indicate a serious underlying pathology. However, majority is benign and occur as a result of ingestions of substances such as medications or food dye or trauma postinstrumentations. Purple discoloration of the urinary catheter bag is uncommon and is caused by urinary tract infection with certain organisms. Unfortunately, most clinicians including the frontline clinicians are not aware of this syndrome, and despite the striking features, purple urine bag discoloration may be overlooked and not be given appropriate treatment. We present a case of this rare phenomenon with urosepsis that was not diagnosed on 2 occasions when the patient presented to the accident and emergency department.
尿液变色可能令人担忧，并可能表明存在严重的潜在病理。然而，大多数情况下是良性的，是由于摄入药物、食物染料或器械操作后创伤等物质引起的。尿袋出现紫色变色并不常见，是由某些特定生物体引起的尿路感染引起的。不幸的是，包括一线临床医生在内的大多数临床医生都不知道这种综合征，尽管这种症状非常明显，但可能会忽略紫色尿袋变色的情况，并且不会给予适当的治疗。我们报告了一例这种罕见的伴有尿脓毒血症的现象，患者两次因该现象到急诊就诊时都未被诊断出来。
