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

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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, Kelantan

Mohamed 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, Kelantan

Ahmad 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, Kelantan

Bibliografia

  1. Khan F, Chaudhry MA, Qureshi N, Cowley B. Purple urine bag syndrome: an alarming hue? A brief review of the literature. Int J Nephrol. 2011;2011:419213. doi: 10.4061/2011/419213
  2. 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
  3. 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.
  4. Hadano Y, Shimizu T, Takada S, Inoue T, Sorano S. An update on purple urine bag syndrome. Int J Gen Med. 2012;5:707–710. doi: 10.2147/IJGM.S35320
  5. 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
  6. 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
  7. 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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1. JATS XML
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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