KARTAGENER SYNDROME: A CASE REPORT

Authors

  • Samane Najafi Department of Family Health, Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.
  • Ali Mohammadpour Department of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Social Determinants of Health Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.
  • Maryam Eshghizadeh Department of Medical-Surgical Nursing, Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.

DOI:

https://doi.org/10.22159/ajpcr.2018.v11i5.25593

Keywords:

Kartagener syndrome, Primary ciliary dyskinesia, Situs inversus, Dextrocardia

Abstract

Kartagener syndrome is a rare genetic disorder which includes a triad of bronchiectasis, chronic sinusitis, and situs inversus. Primary ciliary dyskinesia (PCD) can be one of the causes of the above symptoms in this syndrome. This study aims to contribute toward a greater understanding of Kartagener syndrome by reporting a rare case. This 16-year-old boy was hospitalized in the internal ward of 22 Bahman Hospital in Gonabad on February 23, 2016 and presented with suspected Kartagener syndrome and PCD, whose diagnosis of Kartagener syndrome and PCD was confirmed according to biopsy of the nose and antitrypsin test. The patient also underwent electrocardiography, chest X-ray, pelvic and abdominal ultrasound, and computed tomography scan with high resolution and no contrast of the chest, abdomen, and sinuses. As a rare disorder, Kartagener syndrome should be borne in mind in differential diagnoses of chronic respiratory infections and must be diagnosed as early as possible to improve patient's quality of life.

Downloads

Download data is not yet available.

References

Kartagener M. Zur pathogenese der bronchiectasien. I Mitteilung: Bronchiectasien bei situs viscerum inversus. Betr Klin Tuberk 1933;83:498-501.

Bent JP, Smith RJ. Intraoperative diagnosis of primary ciliary dyskinesia. Otolaryngol Head Neck Surg 1997;116:64-7.

Siraj F1, Hussain MM, Showkat HI, Sarmast AH, Dar NA, Bhat GM. Photoclinic. Kartagener’s syndrome. Arch Iran Med 2013;16:129-30.

Chuhwak EK. Kartagener syndrome in a Nigerian African, a case report and literature review. Niger J Med 2009;18:424-7.

Olbrich H, Haffnex K, Kispert A, Volkel A, Volz A, Sasmaz G, et al. Mutation in DNA H5 cause primary cilliary dyskinesia and randomization of left right asymmetry. Nat Genet 2002;30:143-4.

Chernick V, Boat TF, Wilmott RW, Bush A. Kendig’s Disorders of the Respiratory Tract in Children. 7th ed. Philadelphia, PA: Saunders- Elsevier; 2006. p. 485-90.

Afzelius BA, Eliasson R. Male and female infertility problems in the immotile-cilia syndrome. Eur J Respir Dis Suppl 1983;127:144-7.

Bartoloni L, Blouin JL, Pan Y, Gehrig C, Maiti AK, Scamuffa N, et al. Mutations in the DNAH11 (axonemal heavy chain dynein type 11) gene cause one form of situs inversus totalis and most likely primary ciliary dyskinesia. Proc Natl Acad Sci 2002;99:10282-6.

Biggart E, Pritchard K, Wilson R, Bush A. Primary ciliary dyskinesia syndrome associated with abnormal ciliary orientation in infants. Eur Respir J 2001;17:444-8.

Paschala A, Koufakis T. Looking in the mirror: Situs inversus totalis. Pan Afr Med J 2015;20:87.

Camner P, Mossberg B, Afzelius BA. Evidence of congenitally nonfunctioning cilia in the tracheobronchial tract in two subjects. Am Rev Respir Dis 1975;112:807-9.

Toledo MF, Adde FV. Primary ciliary dyskinesia in children. J Pediatr (Rio de J) 2000;76:9-16.

Gupta S, Handa K, Kasliwal R, Bajpai P. A case of Kartagener’s syndrome: Importance of early diagnosis and treatment. Indian J Hum Genet 2012;18:263-7.

Corbo GM, Foresi A, Bonfitto P, Mugnano A, Agabiti N, Cole PJ. Measurement of nasal mucociliary clearance. Arch Dis Child 1989;64:546-50.

Taiana JA, Villegas AH, Schieppati E. Kartagener’s syndrome: Report of a case treated by pulmonary resection; Review of the literature. J Thorac Surg 1955;30:34-43.

Otgün I, Karnak I, Tanyel FC, Senocak ME, Büyükpamukçu N. Surgical treatment of bronchiectasis in children. J Pediatr Surg 2004;39:1532-6.

Shyama K, Prudence AR. Improving antibiotic prescribing pattern and assessment of co-morbidities associated with respiratory tract infections. Int J Pharm Pharm Sci 2017;9:283-6.

Alvarez A, Algar FJ, Santos F, Lama R, Baamonde C, Cerezo F, et al. Pediatric lung transplantation. Transplant Proc 2005;37:1519-22.

Rajendran R, Balan R, Ganesan N, Thiruvengadam D. Recent modalities in drug delivery via inhalation therapy-an advanced treatment strategy for pulmonary carcinoma. Int J Pharm Pharm Sci 2015;7:8-21.

Published

01-05-2018

How to Cite

Najafi, S., A. Mohammadpour, and M. Eshghizadeh. “KARTAGENER SYNDROME: A CASE REPORT”. Asian Journal of Pharmaceutical and Clinical Research, vol. 11, no. 5, May 2018, pp. 7-9, doi:10.22159/ajpcr.2018.v11i5.25593.

Issue

Section

Case Study(s)