International Journal of Clinical & Medical Images


Clinical-Medical Image - International Journal of Clinical & Medical Images (2022) Volume 9, Issue 7

Purple Urine

Purple Urine

Author(s): Gamze Gursoy

DOI: 10.4172/2376-0249.1000838

Received: 29 June 2022, Manuscript No. ijcmi-22-68386; Editor assigned: 01 July 2022, Pre QC No. P-68386; Reviewed: 14 July 2022, QC No. Q-68386; Revised: 18 July 2022, Manuscript No. R-68386; Published: 25 July 2022, DOI: 10.4172/2376-0249.1000838

Clinical-Medical Image


Purple Urine Bag Syndome is a rare phenomenon. In this case In this case, a patient with purple urine is presented.

Case Presentation

The patient was 56 years old, female, not working, living in Ardahan, turkey with two children. While the patient was being followed in the 2nd step adult intensive care unit with decompensated heart failure, urinary catheterization was performed to monitor the amount of urine output. 48 hours after the catheterization procedure, the patient had a fever and it was observed that the urine in the urinary bladder was purple in color. E.coli was grown in the urine culture of the patient with pyuria.

This syndrome’s name is “Purple Urine Bag Syndome (PUBS)”. PUBS is a rare phenomenon [1]. PUBS is uncommon, estimates ranging is 8.3%-42.1% [2]. Most authors believe that purple urine is a mixture of indigo and indigo, which is derived from metabolites of tryptophan. Tryptophan is metabolized by intestinal bacteria in the gastrointestinal tract to produce indole, which is absorbed into the portal circulation. This possibility increases in constipation. Indole is converted to indoxyl sulfate in the liver. Indoxyl sulfate is excreted in the urine and is digested into indoxyl by indoxylsulfatase produced by some bacteria. Indoxyl alkali converts to indigo (blue color) and indigo (red color) in urine, and these colors mix to form a purple color [3] (Figure 1).


[1] Kalsi DS, Ward J, Lee R, Handa A. (2017) Purple urine bag syndrome: A rare spot diagnosis. Dis Markers 9131872-9131872.

GoogleScholar               CrossRef                     Indexed at

[2] Chung SD, Liao CH, Sun HD. (1978) Purple urine bag syndrome with acidic urine. Int J Infect Dis 12:502.

GoogleScholar               CrossRef                    Indexed at

[3] Al Montasir A and Al Mustaque A. (2013) Purple urine bag syndrome. Fam Med Prim Care 2:104.

GoogleScholar               CrossRef                    Indexed at

flyer Image
Indexing and Archiving
A generic square placeholder image with rounded corners in a figure.
All published articles are assigned to Digital Object Identifier (DOI)- CrossRef.
A generic square placeholder image with rounded corners in a figure.
All published articles of this journal are included in the indexing and abstracting coverage of:
Google Scholar citation report
Citations : 226

International Journal of Clinical & Medical Images received 226 citations as per Google Scholar report

agar io

wormax io

rolex replica