Purple urine bag syndrome and penile high-grade dysplasia: a rare clinical intersection

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Abstract

Purple urine bag syndrome (PUBS) is an uncommon phenomenon characterized by the purple discoloration of urinary catheter bags. We present a unique case of an 81-year-old male with a history of acute ischemic stroke, initially presenting with a cauliflower-like growth on the distal part of the penis. Subsequent assessment revealed a high-grade dysplasia lesion. During the preparation for partial penectomy, the patient developed PUBS. Urine culture indicated a mixed growth of organisms, promptly treated with intravenous cefuroxime, resulting in the resolution of the purple discoloration. The patient underwent successful partial penectomy and was discharged without complications. This case highlights the rare co-occurrence of PUBS and high-grade dysplasia, emphasizing the importance of comprehensive management in such complex clinical scenarios.

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About the authors

Muhammad Izzat Shufphi Ismail

Universiti Sains Malaysia; Hospital Universiti Sains Malaysia

Email: shufphi23@gmail.com
ORCID iD: 0000-0002-3389-7243

MD, Department of Surgery, Hospital Universiti Sains Malaysia; Urology Unit, Department of Surgery, School of Medical Sciences, Universiti Sains Malaysia

Malaysia, Kubang Kerian, Kelantan; Kubang Kerian, Kelantan

Mohamed Ashraf Mohamed Daud

Universiti Sains Malaysia; Hospital Universiti Sains Malaysia

Email: mashrafmdaud@usm.my
ORCID iD: 0000-0002-9434-6015

MD, MMed (Surgery), MRCSEd, FRCS (Urol) (Glasgow) Urology Unit, Department of Surgery, Hospital Universiti Sains Malaysia

Malaysia, Kubang Kerian, Kelantan; Kubang Kerian, Kelantan

Ahmad Faiz Najmuddin Mohd Ghazi

Universiti Sains Malaysia; Hospital Universiti Sains Malaysia

Author for correspondence.
Email: faiznaj@usm.my
ORCID iD: 0000-0002-2420-8186

MD, MMed (Surgery) Urology Unit, Department of Surgery, Hospital Universiti Sains Malaysia; Urology Unit, Department of Surgery, School of Medical Sciences, Universiti Sains Malaysia

Malaysia, Kubang Kerian, Kelantan; Kubang Kerian, Kelantan

References

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Supplementary files

Supplementary Files
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2. Figure 1. Wart-like lesion during presentation

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3. Figure 2. Purple urine bag syndrome

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4. Figure 3. Urine bag after 5 days of antibiotics

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