DOI: https://doi.org/10.36347/sjmcr.2024.v12i08.008

Pages: 1380-1383

Purple urine discoloration, or Purple Urine Bag Syndrome (PUBS), is a prevalent condition in bed ridden people who used a urinary catheter for a long time. The purple discoloration is alarming to the patients and everyone around them, even though it is usually benign. Case Study: This case study describes a 55-year-old woman as having PUBS. She has had type II diabetes for 20 years, hypertension for 10 years, and an ischemic stroke during the last five months. Her symptoms of renal impairment have required her to be on a catheter for the previous week. She reported to the ER that she had experienced an alteration in the color of her urine along with overwhelming symptoms that had persisted for several days. A new catheter was used. Laxatives and antibiotics were also upgraded, and urine culture samples were taken in. Clinical Discussion: Although it has also been described in acidic urine, PUBS is typically linked to alkaline urine and in patients who endured catheterization for an extended period, as this patient was. Conclusion: Patients and their family may experience anxiety when dealing with PUBS, an uncommon sign of a urinary tract infection that has an unsettling appearance. Purple discoloration is a relatively benign and asymptomatic condition that serves only as a warning sign of underlying bacteriuria, with little prognostic implications.