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Edroso Jarne, A. Rodríguez García, J.M. Salvador Casabón" "autores" => array:3 [ 0 => array:2 [ "nombre" => "P.E." "apellidos" => "Edroso Jarne" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Rodríguez García" ] 2 => array:2 [ "nombre" => "J.M." 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Sevilla Martínez, A. Fernández Carmona, S. Silvente Fernández" "autores" => array:3 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Sevilla Martínez" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Fernández Carmona" ] 2 => array:2 [ "nombre" => "S." "apellidos" => "Silvente Fernández" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0210569119300312" "doi" => "10.1016/j.medin.2019.01.004" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569119300312?idApp=WMIE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572719301377?idApp=WMIE" "url" => "/21735727/0000004300000008/v1_201910261026/S2173572719301377/v1_201910261026/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>" "titulo" => "Idiopathic pericarditis by cholesterol crystals" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "519" "paginaFinal" => "520" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "P.E. Edroso Jarne, A. Rodríguez García, J.M. Salvador Casabón" "autores" => array:3 [ 0 => array:4 [ "nombre" => "P.E." "apellidos" => "Edroso Jarne" "email" => array:1 [ 0 => "palomaedroso@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "A." "apellidos" => "Rodríguez García" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "J.M." "apellidos" => "Salvador Casabón" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Medicina Intensiva, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Cardiología, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Pericarditis idiopática por cristales de colesterol" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1212 "Ancho" => 1500 "Tamanyo" => 142306 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Cholesterol-induced pericarditis is a rare entity. We hereby present the case of an 81-year-old male admitted to our ICU due to severe pericardial effusion with early signs of hemodynamic compromise (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). Diagnostic and therapeutic pericardiocentesis was performed that improved the patient's symptoms and his hemodynamic parameters. Around 1500<span class="elsevierStyleHsp" style=""></span>mL of a yellowish fluid were obtained (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>)<span class="elsevierStyleItalic">.</span> Cholesterol crystals, lipid micelles, and inflammatory cells were observed under the optic microscope (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>)<span class="elsevierStyleItalic">.</span> The concentration of cholesterol in the pericardial fluid was higher compared to the patient's blood. Tuberculosis disease and hypothyroidism, rheumatoid arthritis and other systemic infections and autoimmune diseases were all ruled out. Cholesterol crystal are characteristic here and they are indicative of the chronicity of effusion and persistent inflammation of the pericardium. The concentration of cholesterol is usually the same or higher compared to blood. Treatment depends on the underlying disease. In the presence of hemodynamic compromise, we should always perform pericardiocentesis. In most cases, there will be relapses and pericardiectomy will be required.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0010" class="elsevierStylePara elsevierViewall">The authors declared that they did not receive any funding while conducting this study.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflicts of interest</span><p id="par0015" class="elsevierStylePara elsevierViewall">None reported by the authors.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflicts of interest" ] 2 => array:2 [ "identificador" => "xack431479" "titulo" => "Acknowledgements" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Edroso Jarne PE, Rodríguez García A, Salvador Casabón JM. Pericarditis idiopática por cristales de colesterol. Med Intensiva. 2019;43:519–520.</p>" ] ] "multimedia" => array:3 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1212 "Ancho" => 1500 "Tamanyo" => 142306 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 2000 "Ancho" => 1500 "Tamanyo" => 249322 ] ] ] 2 => array:6 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 672 "Ancho" => 900 "Tamanyo" => 106309 ] ] ] ] "agradecimientos" => array:1 [ 0 => array:4 [ "identificador" => "xack431479" "titulo" => "Acknowledgements" "texto" => "<p id="par0020" class="elsevierStylePara elsevierViewall">We wish to thank the Hospital Clínico Lozano Blesa Intensive Care Unit and Cardiology Unit.</p>" "vista" => "all" ] ] ] "idiomaDefecto" => "en" "url" => "/21735727/0000004300000008/v1_201910261026/S217357271930147X/v1_201910261026/en/main.assets" "Apartado" => array:4 [ "identificador" => "64602" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in Intensive Medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735727/0000004300000008/v1_201910261026/S217357271930147X/v1_201910261026/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S217357271930147X?idApp=WMIE" ]
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