Kartagener Syndrome
Case report
Keywords:
Kartagener syndrome, dextrocardia, primary ciliary dyskinesiaAbstract
Kartagener syndrome is an autosomic recessive hereditary disease characterized of primary ciliary dyskinesia, chro- nic cough, chronic sinusitis, infertility, situs inversus, and bronchiectasis. We report the case of a patient male of 36 years old and history of dextrocardia, who consulted of recurrent respi- ratory symptoms whit inadequate response to previous treatments, with beta-adrenergic and oral antibiotics since childhood. was referred to an outpatient service Pneumology and Cardiology Hospital ESE-CARI, high complexity, where chest radiograph posteroanterior is performed, showing dextrocardia plus pneumatocele and possible infectious process. A history of infertility, recurrent episodes pansinusitis, lower respiratory symptoms and imaging findings, aroused the suspicion of primary ciliary dyskinesia like a Kartagener syndrome. Our purpose in presenting this case, is that we think that, although it is an extremely rare disease, represents a possible diagnosis when hemoptysis and history of infertility are associated.
Downloads
References
Cichocka-Jarosz E, Jedynak-Wasowicz U, Głodzik I, Lis G, Pietrzyk JJ. Primary ciliary dyskinesia in highlights of consensus statement. Przegl Lek. 2010;67:135–40.
Bergström S. Primary ciliary dyskine¬sia (immo- tile-cilia syndrome). UpTo Date 19.3. Revisado en Junio de 2011. [citado 29 agos 2013]. Disponible en: http://www.uptodate.com
Noone P, Leigh M, Sannuti A, Minnix S, Carson J, Hazucha M. et al. Primary ciliary dyskinesia: diag- nostic and phenotypic features. Am J Respir Crit Care Med. 2004;(169):457-9. 4.Skeik N, Jabr FI. Kartagener syndro¬me. Int J Gen Med 2011; 4: 41-43. .
Siewert A. Über einen fall von bronchiectasie bei einen patienten mit situs inversus viscerum. Berliner Klinische Wochenschrift. 1904;(41):139- 41.
Berdon WE, McManus C, Afzelius B. More on Kartagener’s syndrome and the contributions of Afzelius and A.K. Siewert Pediatr Radiol. 2004;34:585–6.
Fernández S, Roblejo H, Balbuena H. Síndrome de kartagener: bases genéticas y hallazgos clínicos. Reporte de un caso. Rev Haban Cienc Med 2011; 10: 37-44
Palacios E, Jadresic E. Aspectos emo¬cionales en la infertilidad: una revisión de la literatura reciente. Rev Chil Neuro- Psiquiat 2000; 38 (2): 94-103.
Santamaria F, Montella S, Tiddens HA, Guidi G, Casotti V, Maglione M, et al. Structural and func- tional lung disease in primary ciliary dyskinesia. Chest. 2008;134:351–7.
Ortega HA, Vega Nde A, Santos BQ, Maia GT. Primary ciliary dyskinesia: considerations regarding six cases of Kartagener syndrome. J Bras Pneumol. 2007;33:602–8.