Mentions: A 44-year-old man with Down's syndrome and neurogenic bladder which required a suprapubic catheter presented with fever and change in his urine color for one day. Physical examination revealed a temperature of 38.3°C, blood pressure of 60/30 mmHg, pulse rate of 120/min and urine with purple discoloration in the urine catheter and bag (Figure 1). A urine dipstick test indicated the presence of leukocytes, positive nitrate and a pH value of 8.5. The patient was resuscitated with intravenous crystalloid fluid and empiric antibiotics (vancomycin and piperacillin/tazobactam) were started. The patient's urine culture subsequently grew Enterococcus faecalis. His antibiotic was changed to levofloxacin as per sensitivity analysis. The patient responded well to treatment as his fever subsided and improved and his urine color gradually returned to yellow.Fig. 1.
No MeSH data available.