# Silicone Embolism Syndrome Causing Altered Mental Status and Respiratory Failure After an Unlicensed Gluteal Silicone Injection: A Case Report

## TL;DR

A woman developed severe health complications and died after an unlicensed silicone injection to her glutes, highlighting the dangers of such procedures.

## Contribution

This case report highlights silicone embolism syndrome as a rare but severe complication of unlicensed cosmetic injections.

## Key findings

- The patient developed acute respiratory distress syndrome and seizures after a silicone injection.
- Silicone embolism syndrome can lead to rapid hemodynamic compromise and death.
- Clinical diagnosis relies on history and physical exam due to limited documentation and no standardized treatment.

## Abstract

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.