Innere Medizin grüner harn

Ich kenne dieses Phänomen nur, wenn zur besseren Darstellung im Rahmen von Uro-OP's Methylenblau verwendet wurde - "blau" + "gelb" = "grün".

Gruss,

Surrogat

Nachdem du in der Chirurgie arbeitest könnte es auch am Propofol (Narkose) liegen...dies hab ich selbst schon erlebt...
Manche Pseudomonasstämme können auch eine Grünfärbung verursachen - dies aber ist selten und daher unwahrscheinlich...
Denkbar wären noch 'Harntherapeutika', die Bärentraubenblätter enthalten...
Bei Triamteren, Amitryptillin und Thymol kann es (wohl) auch selten vorkommen das der Harn grünlich gefärbt ist...

Arbutin aus Folium uvae ursi - Bärentraubenblätter (bei Harnwegsinfektionen)
Amitryptilin (Antidepressivum; z.B. Tryptizol®)
Azuresin (wurde früher bei Magen-Tests eingesetzt)
Dithiazanine Jodid (früher als Mittel bei Wurmerkrankungen eingesetzt)
Guajacol (früher bei Lungenkrankheiten eingesetzt)
Indomethacin (Entzündungshemmer - Rheumamedikament; z.B. Indocid®)
Kupfer
Methylenblau (in Kombinationspräparaten zur Linderung der Beschwerden von Harnwegsinfekten; z.B. Urised®)
Phenol-haltige Medikamentenzubereitungen für intravenöse Gabe:
Cimetidin (Magensäureblocker)
Promethazin (Allergiemedikament, Beruhigungsmittel)
Phenylbutazon (Schmerz- u. Entzündungshemmer; z.B. Ambene®)
Propofol (Narkose-Mittel; z.B. Dipravan®)
Thymol (Bronchitismittel; z.B. Bronchipret ®, Bronchithym®; in Mundspülungen)
Triamteren (harntreibendes Mittel; z.B. Tardurol®)

LG solojess

AW: grüner harn

Vielleicht hilft Dir auch das noch weiter:
[FONT=&quot]8. BLUE-GREEN[/FONT]
[FONT=&quot]Green urine arises when blue compounds are excreted by the[/FONT]
[FONT=&quot]kidneys and mix with normal yellow urochrome pigments. A[/FONT]
[FONT=&quot]number of agents have been known to cause green urine (for[/FONT]
[FONT=&quot]example, indomethacin, amitriptyline, triamterene, Listerine,[/FONT]
[FONT=&quot]flutamide, and injectable formulations containing phenol[/FONT]
[FONT=&quot]such as some preparations of promethazine).[/FONT][FONT=&quot]26 [/FONT][FONT=&quot]Propofol is[/FONT]
[FONT=&quot]excreted in the urine mainly as the 1-glucuronide, 4-[/FONT]
[FONT=&quot]glucuronide and 4-sulfate conjugates of 2,6 di-isopropylphenol.[/FONT]
[FONT=&quot]These are phenol derivatives, which cause a pH[/FONT]
[FONT=&quot]dependent green urine discolouration that is more prominent[/FONT]
[FONT=&quot]in alkaline urine. There are abundant case reports describing[/FONT]
[FONT=&quot]green urine in patients with the propofol infusion syndrome,[/FONT]
[FONT=&quot]a potentially fatal disorder marked by severe metabolic[/FONT]
[FONT=&quot]acidosis, rhabdomyolysis, renal and cardiac failure particularly[/FONT]
[FONT=&quot]in association with prolonged high dose propofol[/FONT]
[FONT=&quot]infusions, in patients with brain injury.[/FONT][FONT=&quot]27 28 [/FONT][FONT=&quot]Case reports[/FONT]
[FONT=&quot]may also be identified that record green urine in the context[/FONT]
[FONT=&quot]of low doses of propofol, administered for sedation in[/FONT]
[FONT=&quot]intensive care units and even after single anaesthetic[/FONT]
[FONT=&quot]induction doses, unassociated with adverse complications.[/FONT][FONT=&quot]29 30[/FONT]
[FONT=&quot]The addition of dyes to enteral formulas is a bedside[/FONT]
[FONT=&quot]technique for detecting aspiration in mechanically ventilated[/FONT]
[FONT=&quot]patients. Blue dyes known to cause green urine discolouration[/FONT]
[FONT=&quot]with their excretion include food drug and cosmetic blue[/FONT]
[FONT=&quot]number 1, indigo blue, indigo carmine and methylene blue.[/FONT][FONT=&quot]31[/FONT]
[FONT=&quot]Intravenous infusion of methylene blue has been suggested[/FONT]
[FONT=&quot]in the treatment of refractory septic shock.[/FONT][FONT=&quot]32 [/FONT][FONT=&quot]Conversely, in[/FONT]
[FONT=&quot]recent times, concern regarding systemic absorption and[/FONT]
[FONT=&quot]toxicity of these agents has been raised, particularly in[/FONT]
[FONT=&quot]critically ill patients. Food drug and cosmetic dye number 1[/FONT]
[FONT=&quot]may inhibit mitochondrial oxidative phosphorylation resulting[/FONT]
[FONT=&quot]in lactic acidosis and impaired organ function.[/FONT]
[FONT=&quot]Recommendations to stop using these agents for this purpose[/FONT]
[FONT=&quot]have been issued.[/FONT][FONT=&quot]33[/FONT]
[FONT=&quot]Urinary tract infection caused by [/FONT][FONT=&quot]Pseudomonas aeruginosa[/FONT]
[FONT=&quot]can cause green urine through the liberation of the pigment[/FONT]
[FONT=&quot]pyocyanin.[/FONT][FONT=&quot]3 [/FONT][FONT=&quot]In chronic obstructive jaundice green and blue[/FONT]
[FONT=&quot]urine may arise attributable to biliverdin excretion, an[/FONT]
[FONT=&quot]oxidation product of bilirubin.[/FONT][FONT=&quot]2[/FONT]
[FONT=&quot]Quelle Postgraduate Medical Journal - BMJ Journals[/FONT]