Popoola Michael, Hillier Marston
Internal Medicine, Dorset County Hospital NHS Trust, Dorchester, GBR.
Cureus. 2022 Apr 9;14(4):e23970. doi: 10.7759/cureus.23970. eCollection 2022 Apr.
Purple urine bag syndrome (PUBS) is a curious condition that manifests with purple discoloration of a urinary catheter bag as a result of a urinary tract infection (UTI). This syndrome is produced through a reaction between urinary by-products and the components of a plastic urinary catheter bag. Predisposing factors include old age, long-term catheterization, chronic constipation, and limited mobility. We describe a case of a UTI in a 90-year-old woman in which the initial presentation was PUBS. Here, late recognition of PUBS led to delayed treatment of the associated UTI. Despite being a simple spot diagnosis, knowledge about this uncommon syndrome is lacking amongst clinicians and this may have implications on patient outcomes.
紫色尿袋综合征（PUBS）是一种奇特的病症，因尿路感染（UTI）导致导尿管袋出现紫色变色。这种综合征是由尿液副产物与塑料导尿管袋的成分之间发生反应产生的。诱发因素包括老年、长期导尿、慢性便秘和活动受限。我们描述了一例90岁女性的尿路感染病例，最初表现为紫色尿袋综合征。在此病例中，对紫色尿袋综合征的延迟识别导致了相关尿路感染的治疗延误。尽管这是一种简单的现场诊断，但临床医生对这种罕见综合征的了解不足，这可能会对患者的治疗结果产生影响。
