Lin Christopher, Robison Jeremiah
Saint Barnabas Hospital, Department of Emergency Medicine, Bronx, New York.
Clin Pract Cases Emerg Med. 2024 May;8(2):151-154. doi: 10.5811/cpcem.1441.
Unlicensed cosmetic procedures, which come at increased risk of infection and potential surgical complications, have introduced new challenges in healthcare. Physicians should be aware of presentations that may arise secondary to these procedures.
We describe a case in which a previously healthy, 28-year-old female presented with new-onset seizures and acute respiratory distress syndrome (ARDS) in the setting of a recent cosmetic procedure with silicone injections to the gluteal region. The patient's hospital course was complicated by altered mental status, respiratory failure, rapid hemodynamic compromise, and eventual death.
In rare cases, one possible complication of cosmetic procedures is silicone embolism syndrome, which is characterized by pneumonitis, alveolar hemorrhage, and ARDS. The patient described in this report also experienced neurologic symptoms including seizure and altered mental status. This is a clinical diagnosis that relies upon thorough history-taking and detailed physical exam. Documentation on this phenomenon is limited, and medical management has not yet been standardized for this condition. Morbidity and mortality remain high.
未经许可的美容手术存在感染风险增加和潜在手术并发症的问题，给医疗保健带来了新的挑战。医生应了解这些手术可能引发的症状。
我们描述了一例病例，一名28岁的既往健康女性在近期进行臀部硅胶注射美容手术后出现新发癫痫和急性呼吸窘迫综合征（ARDS）。患者的住院过程因精神状态改变、呼吸衰竭、快速的血流动力学损害以及最终死亡而变得复杂。
在罕见情况下，美容手术的一种可能并发症是硅酮栓塞综合征，其特征为肺炎、肺泡出血和ARDS。本报告中描述的患者还出现了包括癫痫和精神状态改变在内的神经系统症状。这是一种依赖于详细病史采集和全面体格检查的临床诊断。关于这一现象的文献记载有限，针对这种情况的医疗管理尚未标准化。发病率和死亡率仍然很高。
