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題名 | Purple Urine Bag Syndrome--A Case Report=紫色尿袋症候群--病例報告 |
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作者 | 邱雲柯; 楊久滕; 王智賢; 廖晉興; 徐邦治; | 書刊名 | 慈濟醫學 |
卷期 | 17:4 民94.08 |
頁次 | 頁279-281+301 |
分類號 | 415.82 |
關鍵詞 | 紫色尿袋症候群; 導尿管; 泌尿道感染群; Purple urine bag syndrome; Urinary catheter; Urinary tract infection; |
語文 | 英文(English) |
中文摘要 | 紫色尿代症候群(PUBS)為老年人導尿管留置一段時間後尿袋變紫色之現象。此現象應與尿液中氧靛基質硫酸鹽(indoxyl sulfate)經細菌代謝作用後之兩種產物:靛紅質(indirubin)與靛質(indigo)混合附著尿袋有關。尿液中的氧靛基質硫酸鹽,是由腸中的吲口朵氨丙酸(tryptophan)代謝而成的。尿液中的細菌具有吲口朵磷酸酶(indoxy phosphatase)活性者可在鹼性尿液的環境下代謝氧靛基質硫酸鹽成為靛質及靛紅質。我們報告一病例有導尿管引起泌尿道感染及便秘併有紫色尿袋症候群。 |
英文摘要 | Purple urine bag syndrome (PUBS) is a condition in which the urinary catheter bag of some elderly patients develops an intense purple coloration. The purple discolouration of urine and bag is most often reported to be due to the indirubin dissolved in the plastic and indigo crystals in the urine, which coat the bag surface. Urinary indoxyl sulphate is derived from metabolized tryptophan in the gut. Urinary bacteria with indoxyl sulphatase activity metabolise indoxyl suplhate to produce indigo and indirubin, particularly in alkaline urine. Here, we report a Pseudomona aerugionsa, Klebsiella pneumonia, and Morganella moganii mixed urinary tract infection with constipation who presented with purple urine bag syndrome. The purple urine disappeared after antibiotic treatment and the following urinalysis was sterile. She was discharged in stable condition. |
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