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一名患有尿路感染和便秘的患者出现紫色尿液。

Purple urine in a patient with UTI and constipation.

作者信息

Kannan Lakshmi, Bauman Allison Ann

机构信息

Department of Nephrology, Pikeville Medical Center, Pikeville, KY, USA.

University of Pikeville Kentucky College of Osteopathic Medicine, OMS IV, Pikeville, Kentucky, USA.

出版信息

Oxf Med Case Reports. 2023 Feb 27;2023(2):omad013. doi: 10.1093/omcr/omad013. eCollection 2023 Feb.

DOI:10.1093/omcr/omad013
PMID:36860965
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9969816/
Abstract

Purple urine bag syndrome (PUBS) is a visually striking and a rare side effect in a patient with urinary tract infection where urine in the catheter bags and tubing turn purple. The urine in PUBS gets its color from the combination of two pigments, indirubin and indigo, which are breakdown products of tryptophan. The most important risk factors include long-term catheterization, female gender, chronic constipation, old age and being bed bound. Here, we present a case of PUBS in an elderly female with a history of bladder cancer that needed catheterization along with constipation.

摘要

紫色尿袋综合征(PUBS)是尿路感染患者中一种视觉上显著且罕见的副作用,表现为导尿管袋和管道中的尿液变成紫色。PUBS中的尿液颜色来自两种色素——靛玉红和靛蓝的结合,它们是色氨酸的分解产物。最重要的危险因素包括长期导尿、女性、慢性便秘、老年和卧床不起。在此,我们报告一例患有膀胱癌病史的老年女性发生PUBS的病例,该患者需要导尿且伴有便秘。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b067/9969816/2bf030ca1907/omad013f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b067/9969816/2bf030ca1907/omad013f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b067/9969816/2bf030ca1907/omad013f1.jpg

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本文引用的文献

1
Purple Urine Bag Syndrome: More Than Eyes Can See.紫色尿袋综合征:所见不止于表面
Curr Urol. 2019 Nov;13(3):125-132. doi: 10.1159/000499281. Epub 2019 Nov 13.
2
Purple urinary bag syndrome: what every primary healthcare provider should know.紫色尿袋综合征:每位初级医疗保健提供者都应了解的知识。
BMJ Case Rep. 2018 Jul 18;2018:bcr-2018-226395. doi: 10.1136/bcr-2018-226395.
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Purple Urine Bag Syndrome: A Rare Spot Diagnosis.紫色尿袋综合征:一种罕见的点状诊断。
Dis Markers. 2017;2017:9131872. doi: 10.1155/2017/9131872. Epub 2017 Nov 29.
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Purple urine bag syndrome.紫色尿袋综合征
J Family Med Prim Care. 2013 Jan;2(1):104-5. doi: 10.4103/2249-4863.109970.
5
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.
6
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.
7
The purple urine bag syndrome: a visually striking side effect of a highly alkaline urinary tract infection.紫色尿袋综合征:高度碱性尿路感染的一种视觉上引人注目的副作用。
Can Urol Assoc J. 2011 Aug;5(4):233-4. doi: 10.5489/cuaj.10177.
8
Enzymatic degradation of urinary indoxyl sulfate by Providencia stuartii and Klebsiella pneumoniae causes the purple urine bag syndrome.斯氏普罗威登斯菌和肺炎克雷伯菌对尿中硫酸吲哚酚的酶促降解导致紫色尿袋综合征。
J Clin Microbiol. 1988 Oct;26(10):2152-6. doi: 10.1128/jcm.26.10.2152-2156.1988.