Kartagener syndrome

Case contributed by Sepehr Haghighi
Diagnosis certain

Presentation

Chronic cough

Patient Data

Age: 20 years
Gender: Male
x-ray
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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
This study is a stack
Axial lung
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This study is a stack
Axial
non-contrast
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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 characterised by abnormal ciliary structure or function, leading to impaired mucociliary clearance.

Kartagener syndrome is characterised by the clinical triad of:

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