Hypolipidemia, an increasingly diagnosed disorder, is defined as low-density lipoprotein (LDL) serum level of less than 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. Work up 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 a 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 had a complicated course. Work up 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.
Internal medicine department, Creighton university, NE, USA
Internal medicine department, Creighton university, NE, 11306 Lafayette Ct, 68154, Omaha, United States.
Tel: +1 (402)-516-4272
Department of Pharmaceutics, Utrecht University, the Netherlands
Department of Pharmaceutics, Jiaxing University Medical College, Zhejiang, China