Purple urine bag syndrome and penile high-grade dysplasia: a rare clinical intersection
- Autores: Ismail M.1,2, Daud M.M.1,2, Ghazi A.M.1,2
 - 
							Afiliações: 
							
- Universiti Sains Malaysia
 - Hospital Universiti Sains Malaysia
 
 - Edição: Nº 3 (2025)
 - Páginas: 72-74
 - Seção: Clinical case
 - URL: https://journals.eco-vector.com/1728-2985/article/view/687840
 - DOI: https://doi.org/10.18565/urology.2025.3.72-74
 - ID: 687840
 
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Resumo
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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Sobre autores
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
Malásia, Kubang Kerian, Kelantan; Kubang Kerian, KelantanMohamed Ashraf 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
Malásia, Kubang Kerian, Kelantan; Kubang Kerian, KelantanAhmad Faiz Najmuddin Ghazi
Universiti Sains Malaysia; Hospital Universiti Sains Malaysia
							Autor responsável pela correspondência
							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
Malásia, Kubang Kerian, Kelantan; Kubang Kerian, KelantanBibliografia
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 - Su FH, Chung SY, Chen MH, et al. Case analysis of purple urine-bag syndrome at a long-term care service in a community hospital. Chang Gung Med J. 2005;28(9):636–642.
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 - Dealler SF, Hawkey PM, Millar MR. Enzymatic degradation of urinary indoxyl sulfate by Providencia stuartii and Klebsiella pneumoniae causes the purple urine bag syndrome. J Clin Microbiol. 1988;26(10):2152–2156. doi: 10.1128/jcm.26.10.2152-2156.1988
 - Kalsi DS, Ward J, Lee R, Handa A. Purple Urine Bag Syndrome: A Rare Spot Diagnosis. Dis Markers. 2017;2017:9131872. doi: 10.1155/2017/9131872
 - Al Montasir A, Al Mustaque A. Purple urine bag syndrome. J Family Med Prim Care. 2013;2(1):104–105. doi: 10.4103/2249-4863.109970
 
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