Publish in this journal
Journal Information
Vol. 43. Issue 8.
Pages 519-520 (November 2019)
Visits
...
Vol. 43. Issue 8.
Pages 519-520 (November 2019)
Images in Intensive Medicine
DOI: 10.1016/j.medine.2019.07.001
Full text access
Idiopathic pericarditis by cholesterol crystals
Pericarditis idiopática por cristales de colesterol
Visits
...
P.E. Edroso Jarnea,
Corresponding author
palomaedroso@hotmail.com

Corresponding author.
, A. Rodríguez Garcíaa, J.M. Salvador Casabónb
a Servicio de Medicina Intensiva, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain
b Servicio de Cardiología, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain
Article information
Full Text
Download PDF
Statistics
Figures (3)
Show moreShow less
Full Text

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 (Fig. 1). Diagnostic and therapeutic pericardiocentesis was performed that improved the patient's symptoms and his hemodynamic parameters. Around 1500mL of a yellowish fluid were obtained (Fig. 2). Cholesterol crystals, lipid micelles, and inflammatory cells were observed under the optic microscope (Fig. 3). 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.

Figure 1
(0.14MB).
Figure 2
(0.24MB).
Figure 3
(0.1MB).
Funding

The authors declared that they did not receive any funding while conducting this study.

Conflicts of interest

None reported by the authors.

Acknowledgements

We wish to thank the Hospital Clínico Lozano Blesa Intensive Care Unit and Cardiology Unit.

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.

Copyright © 2019. Elsevier España, S.L.U. and SEMICYUC
Idiomas
Medicina Intensiva (English Edition)

Subscribe to our newsletter

Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

es en
Política de cookies Cookies policy
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí. To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here.