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"Something really bizarre" in a foley bag

"Something really bizarre" in a foley bag

This article was originally presented as an independent educational activity under the direction of CME LLC. The ability to receive CME credits has expired. The article is now presented here for your reference. CME LLC is no longer responsible for the presentation of the article.


FigureThe Case
A staff nurse calls the physician to see "something really bizarre—we have no idea what this is": the plastic of a urine collection bag of an 81-year-old woman has turned purple, although the urine within is more orange-brown and distinctly less odd looking. Patient has had an indwelling urethral catheter for 7 months, and this discoloration had not been noted before. Current history includes marked constipation, atrial fibrillation, and symptomatic osteoarthrosis of the hips and knees.

More History/Physical
Patient is lucid but frail; says she has felt mild suprapubic tenderness on and off for the past month. Temperature is 38°C (100.4°F).


What's Your Diagnosis?

Food coloring ingestion
Laxative abuse
Medication reaction
Purple urine bag syndrome

(Answer on next page.)


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