An 83-year-old white male with past medical history of cerebrovascular accident, urinary incontinence with indwelling Foley catheter, atrial fibrillation, hyperlipidemia, systolic cardiomyopathy was brought by family for purple discoloration of Foley tubing and urinary bag for last 2 days (Figure 1). Patient complained of malaise and mild constipation. He had no history of trauma to the catheter. He denied fever, chills or dysuria. Physical examination was unremarkable with no suprapubic tenderness.
