Kartagener syndrome

Case contributed by Sepehr Haghighi
Diagnosis certain

Presentation

Chronic cough

Patient Data

Age: 20 years
Gender: Male
x-ray

Evidence of situs inversus is seen as dextrocardia, right-sided position of the stomach, and left-sided position of the liver.

Cylindrical bronchiectasis with peribronchial cuffing is seen in the middle lobe of the left lung.

ct

Dextrocardia is seen with bilateral middle lobes cylindrical bronchiectasis and peribronchial wall thickening.

Bilateral lower lobes centrilobular nodules are seen with a tree-in-bud appearance, which is related to simultaneous endobronchial infection.

Case Discussion

Kartagener syndrome (also known as Kartagener-Afzelius syndrome) is a subset of primary ciliary dyskinesia, an autosomal recessive condition characterized by abnormal ciliary structure or function, leading to impaired mucociliary clearance.

Kartagener syndrome is characterized by the clinical triad of:

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