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May 9, 2012

Purple Urine Bag Syndrome

Author Affiliations

Author Affiliations: Institute of Geriatric Medicine, Incheon Eun-Hye Hospital, Incheon, Korea (Dr Ga); and Department of Geriatric Medicine, University of Tokyo, Tokyo, Japan (Dr Kojima) (

JAMA. 2012;307(18):1912-1913. doi:10.1001/jama.2012.3540

To the Editor: Purple urine bag syndrome (PUBS) is a unique phenomenon mostly seen in patients with dementia, and in 1 report, 27% of the elderly patients in a geriatric hospital who required urinary catheterization for a long period developed PUBS.1 Thus, it is not rare for geriatric clinicians to encounter PUBS, and confirming the management of this phenomenon is important. Drs Ben-Cherit and Munter2 presented a case of PUBS in which urine culture was ordered and replacement of the catheter was recommended.

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