Purple urine bag syndrome in urinary tract infection. Case report from Bolivia

• Rivero Castedo, Leonel ^[3] ; Auza-Santivañez, Jhossmar Cristians ^[4] ; Vallejos-Rejas, Daniel Ramiro Elías ^[1] ; Suarez Aponte, Carla Lorena ^[2] ; Andrade Azcui, Shirley Nicole ^[2] ; Carbonell González, Marlon ^[1] ; Cabezas-Soliz, Ingrid Neysa ^[5] ; Mamani Plata, Roger ^[6]
  1. [1] Universidad Privada del Valle

     Universidad Privada del Valle

     Bolivia

     
  2. [2] Universidad Privada Franz Tamayo

     Universidad Privada Franz Tamayo

     Bolivia

     
  3. [3] Hospital Municipal Dr. Júlio Manuel Aramayo. Santa Cruz, Bolivia
  4. [4] Ministerio de Salud y Deportes. Instituto Académico Científico Quispe-Cornejo. La Paz, Bolivia
  5. [5] Hospital Clínico Quirúrgico Miguel Enríquez. Unidad de Cuidados Intensivos. La Habana, Cuba
  6. [6] Hospital de Tercer Nivel Dr. Hernán Messuti Ribera. Unidad de Cuidados Intensivos. Pando, Bolivia

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• Localización: Health Leadership and Quality of Life, ISSN-e 3008-8488, Vol. 4, Nº. 0, 2025
• Idioma: inglés
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• Resumen

  • Purple bag syndrome is a rare manifestation of urine discoloration associated primarily with chemical reactions caused by the indoxyl sulfatase/phosphatase activity of some bacteria or as secondary metabolites of food or supplement intake, whether oral or parenteral. Its presence causes confusion, leading to unnecessary laboratory tests and treatments. Is reported the clinical case of a 49-year-old oncology patient admitted to the trauma service for a pathological fracture and urinary tract infection. She was fitted with a urinary catheter, which contained purple urine. Laboratory tests were requested to identify the causative bacteria. The catheter was replaced, and antibiotic treatment was started, leading to resolution of the clinical picture.