We report a case of debilitating penile necrosis in a human immunodeficiency virus-infected man secondary to injection of liquid silicone by an unskilled practitioner. The necrosis involved the penile shaft and was accompanied by scrotal cellulitis. The patient underwent aggressive debridement and was treated with broad-spectrum antibiotics before successful split-thickness skin graft 2 months later. This case demonstrates that liquid silicone injection for soft tissue augmentation may lead to life-threatening infections.
From the *Division of Infectious Diseases, Maimonides Medical Center; and †Division of Infectious Diseases, and ‡Department of Internal Medicine, Long Island College Hospital, Brooklyn, NY.
Reprints: Emmanuel Akinyemi, MD, Division of Infectious Diseases, Maimonides Medical Center, 4719 Fort Hamilton Parkway, Brooklyn, NY 11219. E-mail: Yemmy68@yahoo.com.
The authors have no funding or conflicts of interest to disclose.