Category LITFL
Unusual Urine Clinical Cases

Tyrian rage

Purple Urine: Usually alkaline urine with degradation of indoxyl sulfate (indican), dietary tryptophan metabolite, into indigo (blue) and indirubin (red)

Unusual Urine Clinical Cases

Mahogany Myoglobinuria

A 72 year old female is admitted following an emergency abdominal aortic aneurysm repair. Explain the biochemical results and brown urine

eponymictionary-340-256 2

Granulomatosis With Polyangiitis

The eponym 'Wegener Granulomatosis' has been replaced with the term 'Granulomatosis with polyangiitis (GPA)'. This transition was in part to achieve nomenclature symmetry with Microscopic Polyangiitis (MPA) and Eosinophilic granulomatosis with polyangiitis (EGPA, Churg-Strauss); and to remove any historical association with Friedrich Wegener following revelations of his association with the Nazi Party in World War II

Hans Conrad Julius Reiter (1881 – 1969) 340

Hans Reiter

Hans Conrad Julius Reiter (1881-1969) was a German physician and social hygienist. Associated with Reiter Syndrome - known now as Reactive arthritis

Unusual Urine Clinical Cases

Verdant waste

You manage a young male with a subarachnoid haemorrhage. You are called to review because the patient has started to pass green urine

Unusual Urine Clinical Cases

How Green is my urine

Casual perusal of the output from a patients indwelling catheter revelaed green urine. What are the commonest causes of this unusual urine?