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An 81-year-old woman with bedridden status and long-term catheterisation presented to our emergency department with fever and discolouration of urine. The urinary catheter and bag turned purple since 2 days ago (figure 1). Her temperature was 41.0°C (105.8°F), pulse rate 125 beats/min, respiratory rate 22 breaths/min and blood pressure 131/71 mm Hg. Physical examination was unremarkable. Laboratory …
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