Purple Urine Bag Syndrome in a Nigerian with Gastrointestinal Bleeding: case report PUBS in Gastrointestinal Bleeding

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Chidozie Ndulue
Nonyelum Jisieike-Onuigbo
Arinze Anyanor
Barthlomew Ozuemba
Nwamaka Osakwe
Fidelis Oguejiofor
Hyacinth Eze
Anya Kalu
Charles Odenigbo
Ifeoma Ulasi

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Abstract

Purple urine bag syndrome (PUBS) is an unusual presentation of urinary tract infection (UTI) which has scarcely been reported from Africa and has never been reported in patients with gastrointestinal bleeding (GIB). We hereby report the first case of PUBS in a Nigerian with GIB and a short duration of urethral catheterization. Furthermore, this report provides pictorial evidence that supports the current knowledge on the pathogenesis of PUBS and describes, for the first time, differences between the colors of urine sediments obtained directly from the urethral catheter and that obtained from the urine bag.