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{
    "pk": 935,
    "title": "Pharmacologically-induced Recreational Priapism: Case Report and Review",
    "subtitle": null,
    "abstract": "Introduction:\n Priapism, a time-sensitive urologic emergency, is associated with hematologic disorders, malignancies, trauma, pharmaceuticals, and recreational drugs.\nCase Report:\n A 51-year-old male presented with 36 hours of priapism after recreational use of nonprescribed pharmaceuticals including an oral phosphodiesterase inhibitor and intracorporally injected erectile medications, together with unspecified quantities of cocaine and alcohol. Venous blood gas confirmed ischemic priapism. Detumescence was achieved with intracavernosal phenylephrine injection, aspiration, and irrigation.\nConclusion:\n This case highlights the risk that recreational use of vasoactive medications by patients who seek to prolong sexual activity may lead to delayed presentation for ischemic priapism",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "ischemic priapism"
        },
        {
            "word": "phosphodiesterase inhibitor"
        },
        {
            "word": "intracorporal injection"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/7jv7d0cp",
    "frozenauthors": [
        {
            "first_name": "Grace",
            "middle_name": "",
            "last_name": "Kunas",
            "name_suffix": "",
            "institution": "Abrazo Health, Department of Emergency Medicine, Goodyear, Arizona",
            "department": "None"
        },
        {
            "first_name": "Janet",
            "middle_name": "A.",
            "last_name": "Smereck",
            "name_suffix": "",
            "institution": "Georgetown University Medical Center, Department of Emergency Medicine, Washington, District of Columbia",
            "department": "None"
        },
        {
            "first_name": "Diana",
            "middle_name": "",
            "last_name": "Ladkany",
            "name_suffix": "",
            "institution": "Georgetown University Medical Center, Department of Emergency Medicine, Washington, District of Columbia",
            "department": "None"
        },
        {
            "first_name": "Jonathan",
            "middle_name": "E.",
            "last_name": "Davis",
            "name_suffix": "",
            "institution": "Georgetown University Medical Center, Department of Emergency Medicine, Washington, District of Columbia",
            "department": "None"
        }
    ],
    "date_submitted": "2020-10-10T10:33:35+08:00",
    "date_accepted": "2020-10-10T10:33:35+08:00",
    "date_published": "2020-10-10T10:34:35+08:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/935/galley/683/download/"
        }
    ]
}