title: Purple urine bag syndrome.
abstract: Purple pigment extracted from the urinary catheters and collecting bags of two elderly female patients was analysed by a variety of chemical techniques, including mass spectroscopy and nuclear magnetic resonance. Although previous studies identified the pigment as indigo, we failed to confirm this. Our analysis also demonstrated that indicanuria is not a requirement for the production of the pigment and furthermore indicates that the molecular structure of the pigment is either a steroidal or bile acid conjugate.
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001437:Bacteriuria; D004754:Enterobacter / Q000302:isolation & purification; D005260:Female; D006801:Humans; D007200:Indican / Q000652:urine*; D009682:Magnetic Resonance Spectroscopy; D013058:Mass Spectrometry; D010860:Pigments, Biological / Q000652:urine*; D011513:Proteus mirabilis / Q000302:isolation & purification; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification; D013291:Streptococcus / Q000302:isolation & purification; D014546:Urinary Catheterization
chemical_list: D010860:Pigments, Biological; D007200:Indican