Literature DB >> 33564724

Hypolipidemia contributing to the severity of sepsis triggered by influenza a virus: A case report.

Abdallah Qasim1, Omar Kousa1, Venkata Giri Andukuri1.   

Abstract

Hypolipidemia, an increasingly diagnosed disorder, is defined as a low-density lipoprotein serum level of <50 mg/dL. Hypolipidemia can be asymptomatic. However, the effect of hypolipidemia on sepsis survival and severity is still to be identified. Multiple studies show the physiologic effects of cholesterol on the immune system, and other studies linked hypolipidemia to increased mortality and morbidity. In this case, we present a young patient admitted for severe sepsis, and he developed multiorgan failure. Workup revealed hypolipidemia. The patient recovered from sepsis with residual renal and cardiac injury. We hypothesized that hypolipidemia could be contributing to the increased morbidity in the patient, although further studies are needed to approve this hypothesis. What is unique about this case is that it sheds light on a commonly overlooked metabolic abnormality that plays a role in the body's response to infections and sepsis. RELEVANCE FOR PATIENTS: This case report presents a previously healthy young patient admitted for pneumonia who had a complicated course. Workup revealed hypolipidemia that can be contributing to the severity of his disease. This observation may lead to more studies to evaluate the relationship between lipoprotein level and disease severity which may change the management for patients with hypolipidemia, especially with the familial type. Copyright: © Whioce Publishing Pte. Ltd.

Entities:  

Keywords:  case report; hypolipidemia; immune system activation; multiorgan failure; severe sepsis

Year:  2020        PMID: 33564724      PMCID: PMC7868117     

Source DB:  PubMed          Journal:  J Clin Transl Res        ISSN: 2382-6533


  11 in total

Review 1.  Dyslipidaemia.

Authors:  Paul Durrington
Journal:  Lancet       Date:  2003-08-30       Impact factor: 79.321

2.  Low Low-Density Lipoprotein Levels Are Associated With, But Do Not Causally Contribute to, Increased Mortality in Sepsis.

Authors:  Keith R Walley; John H Boyd; HyeJin Julia Kong; James A Russell
Journal:  Crit Care Med       Date:  2019-03       Impact factor: 7.598

3.  Serum lipids in infection.

Authors:  J I Gallin; D Kaye; W M O'Leary
Journal:  N Engl J Med       Date:  1969-11-13       Impact factor: 91.245

Review 4.  Familial hypobetalipoproteinemia.

Authors:  M F Linton; R V Farese; S G Young
Journal:  J Lipid Res       Date:  1993-04       Impact factor: 5.922

Review 5.  The lipemia of sepsis: triglyceride-rich lipoproteins as agents of innate immunity.

Authors:  H W Harris; J E Gosnell; Z L Kumwenda
Journal:  J Endotoxin Res       Date:  2000

6.  Decreased serum level of lipoprotein cholesterol is a poor prognostic factor for patients with severe community-acquired pneumonia that required intensive care unit admission.

Authors:  Yu-Fen Chien; Chung-Yu Chen; Chia-Lin Hsu; Kuan-Yu Chen; Chong-Jen Yu
Journal:  J Crit Care       Date:  2015-01-08       Impact factor: 3.425

Review 7.  Cholesterol, inflammation and innate immunity.

Authors:  Alan R Tall; Laurent Yvan-Charvet
Journal:  Nat Rev Immunol       Date:  2015-02       Impact factor: 53.106

8.  Low total cholesterol and high total bilirubin are associated with prognosis in patients with prolonged sepsis.

Authors:  Shuhei Yamano; Kentaro Shimizu; Hiroshi Ogura; Tomoya Hirose; Toshimitsu Hamasaki; Takeshi Shimazu; Osamu Tasaki
Journal:  J Crit Care       Date:  2015-10-17       Impact factor: 3.425

9.  Lipid metabolism impairment in patients with sepsis secondary to hospital acquired pneumonia, a proteomic analysis.

Authors:  Narendra Kumar Sharma; Bianca Lima Ferreira; Alexandre Keiji Tashima; Milena Karina Colo Brunialti; Ricardo Jose Soares Torquato; Antonio Bafi; Murillo Assuncao; Luciano Cesar Pontes Azevedo; Reinaldo Salomao
Journal:  Clin Proteomics       Date:  2019-07-16       Impact factor: 3.988

Review 10.  Abetalipoproteinemia: two case reports and literature review.

Authors:  Rola Zamel; Razi Khan; Rebecca L Pollex; Robert A Hegele
Journal:  Orphanet J Rare Dis       Date:  2008-07-08       Impact factor: 4.123

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  1 in total

1.  Dyslipidemia Is Related to Mortality in Critical Patients With Coronavirus Disease 2019: A Retrospective Study.

Authors:  Jiang Yue; Hua Xu; Yong Zhou; Wen Liu; Xiaofeng Han; Qing Mao; Shengxian Li; Lai-Shan Tam; Jing Ma; Wei Liu
Journal:  Front Endocrinol (Lausanne)       Date:  2021-06-23       Impact factor: 5.555

  1 in total

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