KARTAGENER’S SYNDROME:- A CASE REPORT

*Dr. Aakash Arora, Dr. T. R. Sirohi and Dr. Sonalika

ABSTRACT

Background: Kartagener’s Syndrome Is Subset Of Primary Ciliary Dyskinesia, An Autosomal Recessive Inherited Disorder Characterized By The Clinical Triad Of Chronic Sinusitis, Bronchiectasis And Situs Inversus. Abnormal Ciliary Structure Or Function Leading To Impaired Ciliary Motility Is The Main Pathophysiologic Problem In Kartegener’s Syndrome. Case Presentation: A 80 Year Old Man From Meerut City, Up; Presented To Lokpriya Hospital With Recurrent High Grade Fever, Shortness Of Breath, Productive Cough, Multiple Loose Stools, Abdominal Pain More Than Decade. Clinical And Imaging Findings Revealed Chronic Sinusitis, Bronchiectasis, Dextrocardia And Situs Inversus. He Was Treated With Orally Administered Antibiotics, Mucolytic And Chest Physiotherapy. He Was Symptomatically Better With The Above Therapy And Started On A Long Term Low Dose Prophylactic Antibiotics. Conclusions: Patients With Kartegener’s Syndrome Exist In India As Cases Of Chronic Recurrent Sinopulmonary Infections. As There Is No Easy, Reliable Non-Invasive Diagnostic Test For Kartegener’s Syndrome And The Correct Diagnosis Is Often Delayed By Years, It May Cause Chronic Respiratory Problems With Reduced Quality Of Life. Genetic Counseling And Fertility Issues Should Be Addressed Once Kartegener’s Syndrome Is Diagnosed.

Keywords: Kartagener’s Syndrome, Primary Ciliary Dyskinesia, Chronic Sinusitis, Bronchiectasis, Situs Inversus.