title: [Study on purple pigmentation in five cases with purple urine bag syndrome].
abstract: We reported five patients with purple urine bag syndrome (PUBS). Four patients had indicanuria, and, in three of them, purple pigmentation was reproduced by inoculating urinary isolates, in the broth with indoxyl sulfate. Klebsiella pneumoniae, Pseudomonas aeruginosa and Enterococcus avium were considered to produce the purple pigment in three patients. However, attempts to reproduce the purple pigment failed in two patients, and one of them did not have indicanuria. These results suggest that indicanuria is not necessarily required for the development of PUBS.
authors.affiliation: Department of Neurology & Clinical Research Institute, National Sanatorium Minami-Okayama Hospital.
authors.forename: K
authors.initials: K
authors.lastname: Nobukuni
authors.forename: S
authors.initials: S
authors.lastname: Kawahara
authors.forename: H
authors.initials: H
authors.lastname: Nagare
authors.forename: Y
authors.initials: Y
authors.lastname: Fujita
mesh_terms: D000368:Aged; D002408:Catheters, Indwelling / Q000009:adverse effects; D005260:Female; D006801:Humans; D007200:Indican / Q000652:urine; D007203:Indigo Carmine; D007211:Indoles / Q000652:urine*; D007711:Klebsiella pneumoniae / Q000201:enzymology / Q000302:isolation & purification; D008297:Male; D008875:Middle Aged; D011550:Pseudomonas aeruginosa / Q000201:enzymology / Q000302:isolation & purification; D013429:Sulfatases / Q000378:metabolism; D013577:Syndrome; D014546:Urinary Catheterization / Q000009:adverse effects*; D014552:Urinary Tract Infections / Q000382:microbiology*
chemical_list: D007211:Indoles; D007203:Indigo Carmine; D013429:Sulfatases; D007200:Indican