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{
    "pk": 944,
    "title": "“Botched”: A Case Report of Silicone Embolism Syndrome After Penile and Scrotal Injection",
    "subtitle": null,
    "abstract": "Introduction:\n Silicone has been commonly used for both major and minor plastic and reconstructive surgery for decades. Due to the high costs associated with minor cosmetic procedures and plastic surgery, the unauthorized use of silicone injections by laypersons has become increasingly common. Improper or illegal subcutaneous injectable silicone has caused significant pulmonary complications and neurological complications, which can range from mild chest pain, hypoxia, and respiratory failure to coma and altered mental status.\nCase Report:\n We present a patient who had a rare complication of respiratory failure secondary to silicone embolism syndrome (SES). SES is a rare, potentially deadly complication and has been associated with subcutaneous silicone injections. The diagnosis of SES can be challenging and requires a thorough patient history indicating recent cosmetic procedures.\nConclusion:\n This case describes the first case of SES of a male patient who presented to a community emergency department complaining of dyspnea after an episode of self-administered injectable silicone into his penis and scrotum and who developed SES-induced respiratory failure.",
    "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": "Silicone embolism syndrome"
        },
        {
            "word": "illicit silicone injections"
        },
        {
            "word": "injected liquid silicone"
        },
        {
            "word": "acute respiratory failure"
        },
        {
            "word": "acute respiratory distress syndrome"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/7bh2p1nd",
    "frozenauthors": [
        {
            "first_name": "Anantha",
            "middle_name": "",
            "last_name": "Singarajah",
            "name_suffix": "",
            "institution": "Lincoln Memorial University – DeBusk College of Osteopathic Medicine, Harrogate, Tennessee",
            "department": "None"
        },
        {
            "first_name": "Albert",
            "middle_name": "",
            "last_name": "Wang",
            "name_suffix": "",
            "institution": "Desert Regional Medical Center, Department of Emergency Medicine, Palm Springs, California",
            "department": "None"
        },
        {
            "first_name": "Julie",
            "middle_name": "",
            "last_name": "Sayegh",
            "name_suffix": "",
            "institution": "Los Alamitos Medical Center, Department of Emergency Medicine, Los Alamitos, California",
            "department": "None"
        },
        {
            "first_name": "Gary",
            "middle_name": "M.",
            "last_name": "Vilke",
            "name_suffix": "",
            "institution": "University of California, San Diego, Department of Emergency Medicine, San Diego, California",
            "department": "None"
        },
        {
            "first_name": "Faith",
            "middle_name": "C.",
            "last_name": "Quenzer",
            "name_suffix": "",
            "institution": "University of California, San Diego, Department of Emergency Medicine, San Diego, California",
            "department": "None"
        }
    ],
    "date_submitted": "2020-10-21T06:27:10+08:00",
    "date_accepted": "2020-10-21T06:27:10+08:00",
    "date_published": "2020-10-21T06:27:45+08:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/944/galley/692/download/"
        }
    ]
}