title: Recurrent priapism from therapeutic quetiapine.
abstract: Priapism is rarely related to use of non-erectile related medications. The objective was to educate about the multiple possible causes of priapism and to provide treatment recommendations for the different types of priapism. We present the case of a 43-year-old African American male with a history of schizoaffective disorder who presented to our emergency department multiple times over a three year period with priapism, each episode related to the ingestion of quetiapine. Following penile aspiration and intercavernosal injection of phenylephrine, this patient had resolution of his priapism. This case demonstrates an unusual case of recurrent priapism.
authors.affiliation: Department of Emergency Medicine, Denver Health Residency Program, Denver, Colorado.
authors.forename: Omeed
authors.initials: O
authors.lastname: Saghafi
authors.affiliation: Exempla Emergency Physicians, Denver, Colorado.
authors.forename: Amanda
authors.initials: A
authors.lastname: Kao
authors.affiliation: Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, Colorado.
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Druck
mesh_terms: D000328:Adult; D014150:Antipsychotic Agents / Q000009:adverse effects* / Q000627:therapeutic use; D003987:Dibenzothiazepines / Q000009:adverse effects* / Q000627:therapeutic use; D004636:Emergency Service, Hospital; D006801:Humans; D008297:Male; D011317:Priapism / Q000139:chemically induced*; D011618:Psychotic Disorders / Q000188:drug therapy; D000069348:Quetiapine Fumarate; D012008:Recurrence
chemical_list: D014150:Antipsychotic Agents; D003987:Dibenzothiazepines; D000069348:Quetiapine Fumarate