Tuberc Respir Dis.  1994 Dec;41(6):663-669. 10.4046/trd.1994.41.6.663.

Four Cases of Kartagener's Syndrome

Abstract

Kartagener's syndrome is an autosomaly inherited recessive condition characterized by situs inversus, bronchiectasis, and chronic sinusitis. And recently it was recognized as a subclass of dyskinetic cilia syndrome which caused by a defect in mucociliary transport owing to immotile or dyskinetic beating of cilia. Electron microsopy of cilia from sperm tails, nasal and bronchial epithelium of patients reveals the partial or complete absence of dynein arms. Our four patients were diagnosed as a Kartagener's syndrome by classic triad. We carried out electron microscopy of cilia of the nasal mucosa. And many other tests were done. One patient had squamous cell carcinoma of the lung, and another one patient revealed features of adult respiratory distress syndrome at admission. All patients improved with conservative therapy such as physiotherapy, bronchodilater, antibiotics except one patient who mechanical ventilation was required. A brief review of literature was made.

Keyword

Kartagener's syndrome; Bronchiectasis; Sinusitis; Situs Inversus

MeSH Terms

Anti-Bacterial Agents
Arm
Bronchiectasis
Carcinoma, Squamous Cell
Cilia
Dyneins
Epithelium
Humans
Kartagener Syndrome*
Lung
Microscopy, Electron
Mucociliary Clearance
Nasal Mucosa
Respiration, Artificial
Respiratory Distress Syndrome, Adult
Sinusitis
Situs Inversus
Sperm Tail
Anti-Bacterial Agents
Dyneins
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