Kumar Dinesh, Donga Namrata, Macwan Rekha
Department of Community Medicine, Pramukhswami Medical College, Karamsad, Gujarat, India.
Department of Palliative Care, Shree Krishna Hospital, Karamsad, Gujarat, India.
Indian J Palliat Care. 2018 Oct-Dec;24(4):534-536. doi: 10.4103/IJPC.IJPC_88_18.
"Purple urine bag syndrome" (PUBS) is a rare but distressing presentation of urinary tract infection (UTI) among moribund patients on indwelling urinary catheter. A 56-year-old woman with carcinoma of the left breast and metastasis in vertebrae and liver was bed ridden. She was on Foley's catheter for 9 months, with the last catheter changed 3 weeks back. A 75-year-old woman presented with non-Hodgkin's lymphoma for 2 years and moderately differentiated squamous cell carcinoma of the right parotid region (8 months). She experienced fall and fracture of femur, bed ridden, and on Foley's catheter for 7 years. She had facial wound with maggots for 3 days. Both the women developed purple-colored urine with no other symptoms of UTI. No investigations were carried out and they were empirically treated with nitrofurantoin, catheter change reassurance, and increased fluid intake. Urine color was normal by a week. PUBS can be managed easily at home with simple antibiotics, adequate hydration, and family/patient counseling in palliative care settings.
“紫色尿袋综合征”（PUBS）是留置导尿管的濒死患者中一种罕见但令人痛苦的尿路感染（UTI）表现。一名56岁患有左乳腺癌且伴有椎骨和肝脏转移的女性卧床不起。她使用福勒氏导尿管9个月，最后一次更换导尿管是在3周前。一名75岁女性患非霍奇金淋巴瘤2年，右腮腺区中度分化鳞状细胞癌（8个月）。她曾摔倒致股骨骨折，卧床不起，使用福勒氏导尿管7年。她面部伤口有蛆虫3天。两名女性均出现尿液呈紫色，但无其他尿路感染症状。未进行任何检查，对她们经验性使用呋喃妥因治疗、更换导尿管并给予安慰，同时增加液体摄入量。一周后尿液颜色恢复正常。在姑息治疗环境中，通过简单的抗生素、充足的水合作用以及对家庭/患者的咨询，在家中即可轻松管理紫色尿袋综合征。
