Merve Nur ALAGÖZ
Türkiye Aile Hekimliği Dergisi - 2026;30(2):151-155
Purple Urine Bag Syndrome (PUBS) is a rare but visually striking phenomenon usually seen in elderly, immobile, and chronically catheterized patients. Although it usually follows a benign course, its alarming appearance may trigger excessive diagnostic and therapeutic interventions, leading to unnecessary increases in healthcare utilization. We report the case of a 95-year-old woman with chronic ischemic heart disease, followed through home healthcare services, who developed PUBS without clinical or laboratory evidence of infection. The condition resolved completely after simple catheter and bag replacement, without antibiotic therapy. This case emphasizes that PUBS does not always indicate active infection and highlights the importance of rational management in primary care and home healthcare practice, preventing overdiagnosis, overtreatment, and unnecessary antibiotic use.
