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International Journal of Case Reports and Images - IJCRI - Case Reports, Case Series, Case in Images, Clinical Images

     
Case Report
 
Primary ciliary dyskinesia (Kartagener syndrome) in a 38-year-old Egyptian male: A rare case
Motaz Badr Abdellatif Ibrahim
Sixth Year Medical Student, Alexandria Faculty of Medicine, Alexandria, Egypt.

doi:10.5348/ijcri-2014117-CR-10428

Address correspondence to:
Motaz Badr Abdellatif Ibrahim
293 Port Said Street, apartment 14
Sidigaber, Alexandria
Egypt. 21131
Phone: +201002356766
Email: motazmd@hotmail.com

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How to cite this article
Ibrahim MB. Primary ciliary dyskinesia (Kartagener syndrome) in a 38-year-old Egyptian male: A rare case. Int J Case Rep Images 2014;5(9):656–660.


Abstract
Introduction: Kartagener syndrome is a rare, ciliopathic, autosomal recessive genetic disorder with an estimated incidence of about 1 case per 32,000 live births. It always causes a triad which is situs inversus, chronic sinusitis and bronchiectasis.
Case Report: We present a case of a 38-year-old male patient complaining of productive cough and hemoptysis since 15 days, headaches since one month and easily fatigability two years ago. He suffered from similar complains during childhood with episodic fever, worsening of symptoms and he was wrongly diagnosed with tuberculosis. After 28 years, he complicated by severe empyema leading to surgical intervention. Laboratory workup was unremarkable except for leukocytosis (>12,000/mm3) and hypoxia, semen analysis showed defective motility (asthenozoospermia) with grade c while other parameters were found normal including sperm count (35 million per milliliter), morphology and volume, chest X-ray and computed tomography (CT) scan were done, and he was diagnosed with Kartagener syndrome. He took medical treatment in the form of antibiotics (augmantin, 40 mg/kg/day PO), antipyretics (ibuprofen, 1 tablet PO q8h), mucolytics (guaifenesin, 100–400 mg PO q4h), inhaled bronchodilators (albuterol/ipratropium, nebulizer solution: 3 mL inhaled q6h) and a regular follow-up is done with chest X-ray.
Conclusion: In this case report, we intend to remind physicians by Kartagener syndrome despite being rare because early diagnosis is the key for those patients to avoid complications and to give those patients a better lifestyle, another conclusion is that our case is a fertile male which in uncommon in such syndrome.

Keywords: Kartagener syndrome, Bronchiectasis, Primary ciliary dyskinesia


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Author Contributions
Motaz Badr Abdellatif Ibrahim – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2014 Motaz Badr Abdellatif Ibrahim. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



About The Author

Motaz Badr Abdellatif Ibrahim is sixth year medical student at Alexandria Faculty of medicine, Alexandria, Egypt. He is interested in the pediatrics research fileds especially in pediatric pulmonology, gastroenterology, cardiology and congenital disorders.




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