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S-504 A case of purple urine bag syndrome on a patient with end-stage renal disease on hemodialysis
( Sung Bok Ji ),( Hyun -jung Kim ),( Tae-won Lee ),( Ha Nee Jang ),( Hyun-seop Cho ),( Dong-jun Park ),( Se-ho Chang ) 대한내과학회 2016 대한내과학회 추계학술발표논문집 Vol.2016 No.1
Purple urine bag syndrome (PUBS) is a phenomenon where purple discoloration of urine occurs in patient with urinary catheters and urinary tract infection also. The bacteria producing sulfatase and phosphatate are involoved in the formation of pigment, indirubin and indigo. Tryptophan metabolism is involved in this pathogenesis. We present a case of this rare and interesting phenomenon. Our patient, an 80-year-old male, was admitted for general weakness. He was the patient with end stage renal disease (ESRD) on hemodialysis. Although the patient was on hemodialysis state, but the amount of urine was reserved. He recently did not receive hemodialysis for 2 weeks and came to the emergency room for uremic symptoms. A urinary catheter was placed due to decreased mentation. The urine color was changed to purple color after several days on admission. The patient did not have any signs of urinary tract infection like fever, chills and lower urinary tract symptoms. The urinalysis revealed a pH of 9.0, 20-29 white blood cells per high-power field, negative nitrite, 30-49 red blood cells per high-power field, and many bacteria. Urine culture grew more than 100,000 colony of Escherichia coli. He did not receive antibiotic therapy, because of no infection signs. We diagnosed purple urine bag syndrome associated with asymptomatic bacteriuria. After changing to the new urine bag, the urine color was returned to a dark yellow. Several cases were noted and this condition is often easily treated with antibiotics. We have to bear in mind that diagnosing PUBS in patients who have chronic kidney disease (CKD) probably reflect an increased serum and urinary concentration of indoxyl sulfate, and that this uremic toxin is involved not only in the progression of CKD, but also of cardiovascular disease in these patients. Though PUBS is a rare condition, but underlying disease like CKD has been recently recognized as a potential risk factor for its development.
Jang, Seo-Ryang,Lee, Sang-Bok,Cho, Kyoung-Suok The Korean Neurosurgical Society 2017 Journal of Korean neurosurgical society Vol.60 No.6
Objective : The purpose of this study is to evaluate the efficacy and safety of 3-level hybrid surgery (HS), which combines fusion and cervical disc replacement (CDR), compared to 3-level fusionin patient with cervical spondylosis involving 3 levels. Methods : Patients in the anterior cervical discectomy and fusion (ACDF) group (n=30) underwent 3-level fusion and the HS group (n=19) underwent combined surgery with fusion and CDR. Clinical outcomes were evaluated using the visual analogue scale for the arm, the neck disability index (NDI), Odom criteria and postoperative complications. The cervical range of motion (ROM), fusion rate and adjacent segments degeneration were assessed with radiographs. Results : Significant improvements in arm pain relief and functional outcome were observed in ACDF and HS group. The NDI in the HS group showed better improvement 6 months after surgery than that of the ACDF group. The ACDF group had a lower fusion rate, higher incidence of device related complications and radiological changes in adjacent segments compared with the HS group. The better recovery of cervical ROM was observed in HS group. However, that of the ACDF group was significantly decreased and did not recover. Conclusion : The HS group was better than the ACDF group in terms of NDI, cervical ROM, fusion rate, incidence of postoperative complications and adjacent segment degeneration.