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医生:她的尿液为什么变成紫色了?

Doctor: Why Has Her Urine Turned Purple?

作者信息

García-López María, Cárceles-García Carlos, Ovsepyan Mariya, Llenas-García Jara

机构信息

Internal Medicine Department, Vega Baja Hospital, Orihuela, Spain.

Emergency Medicine Department, Vega Baja Hospital, Orihuela, Spain.

出版信息

Eur J Case Rep Intern Med. 2016 Sep 18;3(7):000507. doi: 10.12890/2016_000507. eCollection 2016.

DOI:10.12890/2016_000507
PMID:30755901
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6346774/
Abstract

UNLABELLED

We present the case of an elderly woman with long-term indwelling urinary catheter use whose urine turned purple due to a urinary tract infection.

LEARNING POINTS

Purple urine bag syndrome is secondary to urinary tract infections with indigo- and indirubin-producing bacteria and affects typically institutionalized and chronically catheterized patients., and are the main culprit.It may reflect only asymptomatic bacteriuria and therefore the need for antibiotic treatment must be carefully addressed and individualized.Catheter sanitation, constipation avoidance and prompt removal of unnecessary catheters are key to prevention.

摘要

未标注

我们报告了一例长期留置导尿管的老年女性病例,其尿液因尿路感染而变成紫色。

学习要点

紫色尿袋综合征继发于由产生靛蓝和靛玉红的细菌引起的尿路感染,通常影响机构化照料和长期留置导尿管的患者。 和 是主要元凶。它可能仅反映无症状菌尿,因此抗生素治疗的必要性必须仔细权衡并个体化。导管清洁、避免便秘以及及时拔除不必要的导管是预防的关键。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b7a/6346774/b22cb1f7de84/507_Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b7a/6346774/937afe7108f6/507_Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b7a/6346774/b22cb1f7de84/507_Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b7a/6346774/937afe7108f6/507_Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b7a/6346774/b22cb1f7de84/507_Fig2.jpg

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本文引用的文献

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A targeted infection prevention intervention in nursing home residents with indwelling devices: a randomized clinical trial.针对留置装置的养老院居民的针对性感染预防干预措施:一项随机临床试验。
JAMA Intern Med. 2015 May;175(5):714-23. doi: 10.1001/jamainternmed.2015.132.
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Bacteriophage-mediated control of a two-species biofilm formed by microorganisms causing catheter-associated urinary tract infections in an in vitro urinary catheter model.在体外导尿管模型中,噬菌体介导对由引起导管相关尿路感染的微生物形成的双物种生物膜的控制。
Antimicrob Agents Chemother. 2015 Feb;59(2):1127-37. doi: 10.1128/AAC.03786-14. Epub 2014 Dec 8.
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An update on purple urine bag syndrome.
紫色尿袋综合征最新进展。
Int J Gen Med. 2012;5:707-10. doi: 10.2147/IJGM.S35320. Epub 2012 Aug 22.
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Purple urine bag syndrome: an alarming hue? A brief review of the literature.紫色尿袋综合征:一种警示颜色?文献简要综述
Int J Nephrol. 2011;2011:419213. doi: 10.4061/2011/419213. Epub 2011 Oct 1.
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THE BLUE DIAPER SYNDROME: FAMILIAL HYPERCALCEMIA WITH NEPHROCALCINOSIS AND INDICANURIA; A NEW FAMILIAL DISEASE, WITH DEFINITION OF THE METABOLIC ABNORMALITY.蓝色尿布综合征:伴有肾钙质沉着症和尿蓝母尿症的家族性高钙血症;一种新的家族性疾病,伴有代谢异常的定义。
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A case-control study of purple urine bag syndrome in geriatric wards.老年病房紫色尿袋综合征的病例对照研究。
J Infect Chemother. 2003 Mar;9(1):53-7. doi: 10.1007/s10156-002-0210-x.