Abstract

A 69-year-old lady was undergoing rehabilitation following spinal cord compression secondary to spondylolisthesis. She was chronically constipated and immobile for the most part of her rehabilitation. She was catheterised and had been treated for two urinary tract infections during her admission; cultures revealed Proteus mirabilis as the causative organism. A week upon resolution of the infections both clinically and biochemically, it was noted that the urinary catheter bag contained deep purple-coloured urine (Fig. 1). No new symptoms developed, no new medications were started, and the patient had not altered food or drink varieties. Blood results were also stable. It was suspected that this was a case of the purple urine bag syndrome (PUBS).

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