{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T00:54:09Z","timestamp":1768524849440,"version":"3.49.0"},"reference-count":12,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,12,6]]},"abstract":"<jats:p>A change in the colour of urine is always of clinical significance, and a source of concern for the patient and his physician. Among the different urine colours observed, purple is the least common. Although purple discolouration of a catheter and a urine bag is an uncommon finding, it was reported in the literature as early as 1978, by Barlow and Dickson. We present a unique case of purple urine bag syndrome in a patient with bilateral nephrostomy tubes (NT) and associated urine bags (UB) with only the left nephrostomy tube and urine bag exhibiting the purple colour, which resolved with a course of appropriate antibiotics eradicating the causative bacterial pathogen, and change of NT and UB.<\/jats:p>","DOI":"10.1136\/bcr-2015-212913","type":"journal-article","created":{"date-parts":[[2015,12,23]],"date-time":"2015-12-23T04:54:41Z","timestamp":1450846481000},"page":"bcr2015212913","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["A unilateral purple urine bag syndrome in a patient with bilateral nephrostomy tubes"],"prefix":"10.1136","volume":"2015","author":[{"given":"Adil","family":"Karim","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Hurley Medical Center, Flint, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Firas","family":"Abed","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Hurley Medical Center, Flint, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ghassan","family":"Bachuwa","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Hurley Medical Center, Flint, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,12,23]]},"reference":[{"key":"2025082723024637000_2015.dec22_1.bcr2015212913.1","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1016\/S0140-6736(78)90667-0","article-title":"Purple urine bags","volume":"311","author":"Barlow","year":"1978","journal-title":"Lancet"},{"key":"2025082723024637000_2015.dec22_1.bcr2015212913.2","doi-asserted-by":"crossref","first-page":"419213","DOI":"10.4061\/2011\/419213","article-title":"Purple urine bag syndrome: an alarming hue? 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Purple urine bag syndrome. 2013. http:\/\/www.craighospital.org\/repository\/documents\/healthinfo\/PDFs\/793"},{"key":"2025082723024637000_2015.dec22_1.bcr2015212913.11","doi-asserted-by":"publisher","DOI":"10.5489\/cuaj.10177"},{"key":"2025082723024637000_2015.dec22_1.bcr2015212913.12","first-page":"92","article-title":"Purple urine bag Syndrome: a case report of an alarming phenomenon","volume":"18","author":"Agapakis","year":"2014","journal-title":"Hippokratia"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2015-212913","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:02:54Z","timestamp":1756360974000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2015-212913"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,12,23]]},"references-count":12,"alternative-id":["10.1136\/bcr-2015-212913"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2015-212913","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,12,23]]}}}