array:23 [
  "pii" => "S217357271930147X"
  "issn" => "21735727"
  "doi" => "10.1016/j.medine.2019.07.001"
  "estado" => "S300"
  "fechaPublicacion" => "2019-11-01"
  "aid" => "1338"
  "copyright" => "Elsevier España, S.L.U. and SEMICYUC"
  "copyrightAnyo" => "2019"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Med Intensiva. 2019;43:519-20"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 2
    "HTML" => 2
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0210569119301196"
      "issn" => "02105691"
      "doi" => "10.1016/j.medin.2019.04.002"
      "estado" => "S300"
      "fechaPublicacion" => "2019-11-01"
      "aid" => "1338"
      "copyright" => "Elsevier España, S.L.U. and SEMICYUC"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "sco"
      "cita" => "Med Intensiva. 2019;43:519-20"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 138
        "formatos" => array:3 [
          "EPUB" => 17
          "HTML" => 105
          "PDF" => 16
        ]
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Im&#225;genes en Medicina Intensiva</span>"
        "titulo" => "Pericarditis idiop&#225;tica por cristales de colesterol"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "519"
            "paginaFinal" => "520"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Idiopathic pericarditis by cholesterol crystals"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:6 [
            "identificador" => "fig0005"
            "etiqueta" => "Figura 1"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr1.jpeg"
                "Alto" => 727
                "Ancho" => 900
                "Tamanyo" => 69270
              ]
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "P&#46;E&#46; Edroso Jarne, A&#46; Rodr&#237;guez Garc&#237;a, J&#46;M&#46; Salvador Casab&#243;n"
            "autores" => array:3 [
              0 => array:2 [
                "nombre" => "P&#46;E&#46;"
                "apellidos" => "Edroso Jarne"
              ]
              1 => array:2 [
                "nombre" => "A&#46;"
                "apellidos" => "Rodr&#237;guez Garc&#237;a"
              ]
              2 => array:2 [
                "nombre" => "J&#46;M&#46;"
                "apellidos" => "Salvador Casab&#243;n"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S217357271930147X"
          "doi" => "10.1016/j.medine.2019.07.001"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S217357271930147X?idApp=WMIE"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569119301196?idApp=WMIE"
      "url" => "/02105691/0000004300000008/v1_201910220814/S0210569119301196/v1_201910220814/es/main.assets"
    ]
  ]
  "itemAnterior" => array:19 [
    "pii" => "S2173572719301377"
    "issn" => "21735727"
    "doi" => "10.1016/j.medine.2019.06.010"
    "estado" => "S300"
    "fechaPublicacion" => "2019-11-01"
    "aid" => "1308"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and SEMICYUC"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Med Intensiva. 2019;43:517-8"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 10
      "formatos" => array:2 [
        "HTML" => 8
        "PDF" => 2
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>"
      "titulo" => "Pulmonary vein stenosis after valve replacement surgery"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "517"
          "paginaFinal" => "518"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Estenosis de vena pulmonar tras cirug&#237;a de reemplazo valvular"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0010"
          "etiqueta" => "Figure 2"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr2.jpeg"
              "Alto" => 663
              "Ancho" => 900
              "Tamanyo" => 153682
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Computed tomography scan reconstruction with contrast&#58; collapse of the right pulmonary vein close to the junction of the right atrium &#40;white arrow&#41;&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "M&#46; Sevilla Mart&#237;nez, A&#46; Fern&#225;ndez Carmona, S&#46; Silvente Fern&#225;ndez"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "Sevilla Mart&#237;nez"
            ]
            1 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Fern&#225;ndez Carmona"
            ]
            2 => array:2 [
              "nombre" => "S&#46;"
              "apellidos" => "Silvente Fern&#225;ndez"
            ]
          ]
        ]
      ]
    ]
    "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&#46;E&#46; Edroso Jarne, A&#46; Rodr&#237;guez Garc&#237;a, J&#46;M&#46; Salvador Casab&#243;n"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "P&#46;E&#46;"
            "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">&#42;</span>"
                "identificador" => "cor1"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "A&#46;"
            "apellidos" => "Rodr&#237;guez Garc&#237;a"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "J&#46;M&#46;"
            "apellidos" => "Salvador Casab&#243;n"
            "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&#44; Hospital Cl&#237;nico Universitario Lozano Blesa&#44; Zaragoza&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Cardiolog&#237;a&#44; Hospital Cl&#237;nico Universitario Lozano Blesa&#44; Zaragoza&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor1"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Pericarditis idiop&#225;tica 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&#46; 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 &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; Diagnostic and therapeutic pericardiocentesis was performed that improved the patient&#39;s symptoms and his hemodynamic parameters&#46; Around 1500<span class="elsevierStyleHsp" style=""></span>mL of a yellowish fluid were obtained &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;<span class="elsevierStyleItalic">&#46;</span> Cholesterol crystals&#44; lipid micelles&#44; and inflammatory cells were observed under the optic microscope &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>&#41;<span class="elsevierStyleItalic">&#46;</span> The concentration of cholesterol in the pericardial fluid was higher compared to the patient&#39;s blood&#46; Tuberculosis disease and hypothyroidism&#44; rheumatoid arthritis and other systemic infections and autoimmune diseases were all ruled out&#46; Cholesterol crystal are characteristic here and they are indicative of the chronicity of effusion and persistent inflammation of the pericardium&#46; The concentration of cholesterol is usually the same or higher compared to blood&#46; Treatment depends on the underlying disease&#46; In the presence of hemodynamic compromise&#44; we should always perform pericardiocentesis&#46; In most cases&#44; there will be relapses and pericardiectomy will be required&#46;</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&#46;</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&#46;</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" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Edroso Jarne PE&#44; Rodr&#237;guez Garc&#237;a A&#44; Salvador Casab&#243;n JM&#46; Pericarditis idiop&#225;tica por cristales de colesterol&#46; Med Intensiva&#46; 2019&#59;43&#58;519&#8211;520&#46;</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 Cl&#237;nico Lozano Blesa Intensive Care Unit and Cardiology Unit&#46;</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"
]
Share
Journal Information
Vol. 43. Issue 8.
Pages 519-520 (November 2019)
Visits
4186
Vol. 43. Issue 8.
Pages 519-520 (November 2019)
Images in Intensive Medicine
Full text access
Idiopathic pericarditis by cholesterol crystals
Pericarditis idiopática por cristales de colesterol
Visits
4186
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
This item has received
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
Download PDF
Idiomas
Medicina Intensiva (English Edition)
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?