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A seventy-nine-year-old bedridden female patient presented to emergency with shortness of breath. She had an indwelling urinary catheter and decubitus ulcers. Her carer said the urine in the urethral catheter was purple coloured for the past 3 weeks (figure 1). Urinary dipstick analysis showed presence of large leucocytes, positive nitrates and pH of 8.5, protein +3, glucose …
Contributors FÇT: Concept and design and data collection, revision and approval of article; NHA: data collection, critical revision of article; NZ: data collection from patient.
Competing interests None.
Patient consent Obtained.
Ethics approval Abdomen.
Provenance and peer review Not commissioned; internally peer reviewed.
▸ Additional material is published online. To view please visit the journal (http://dx.doi.org/10.1136/emermed-2014-203818).