並列摘要
Purple urine bag syndrome (PUBS) is a condition in which the urinary catheter bag of some elderly patients develops an intense purple coloration. The purple discolouration of urine and bag is most often reported to be due to the indirubin dissolved in the plastic and indigo crystals in the urine, which coat the bag surface. Urinary indoxyl sulphate is derived from metabolised tryptophan in the gut. Urinary bacteria with indoxyl sulphatase activity metabolise indoxyl sulphate to produce indigo and indirubin, particularly in alkaline urine. Here, we report a 90-year-old woman with a Pseudomona aeruginosa, Klebsiella pneumonia, and Morganella moganii mixed urinary tract infection with constipation who presented with purple urine bag syndrome. The purple urine disappeared after antibiotic treatment and the following urinalysis was sterile. She was discharged in stable condition.
延伸閱讀
- 姜杏芝、蘇富雄、黃明喜、劉玉玲、林翠仙、朱芳業（2008）。紫色尿袋症候群：5個案例報告及文獻回顧。台灣家庭醫學雜誌，18(1)，41-47。https://doi.org/10.7023/TJFM.200803.0041
- 廖俊凱、陳玲儀、林宗立、蘇慶華、劉樹泉（2008）。紫尿袋症候群。台灣老年醫學暨老年學雜誌，3(3)，230-238。https://doi.org/10.29461/TGG.200808.0006
- 王偉傑、朱宗信（2003）。紫色尿袋症候群。腎臟與透析，15(1)，45-46。https://doi.org/10.6340/KD.2003(1).10
- 謝昌成、林名男、蕭雅尤、陳碧奇、林妙秋（2008）。紫色尿袋症候群。基層醫學，23(4)，112-116。https://doi.org/10.6965/PMCFM.200804.0112
- Chang, M. C., & Wu, J. C. (1998). 紫色尿袋症候群：病例報告. 中華民國泌尿科醫學會雜誌, 9(4), 211-214. https://doi.org/10.7024/JUAROC.199812.0211