Incidental imaging detection of Kartagener syndrome in a female: A case report

Kartagener syndrome is a rare ciliopathic genetic disorder characterized by a triad of chronic sinusitis, situs inversus, and bronchiectasis. The underlying pathophysiology involves reduced ciliary motility due to defects in ciliary structure and function within the respiratory tract and fallopian t...

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Main Authors: Natasha Dhakal, MBBS, Prajwal Dahal, MD
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043324013542
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author Natasha Dhakal, MBBS
Prajwal Dahal, MD
author_facet Natasha Dhakal, MBBS
Prajwal Dahal, MD
author_sort Natasha Dhakal, MBBS
collection DOAJ
description Kartagener syndrome is a rare ciliopathic genetic disorder characterized by a triad of chronic sinusitis, situs inversus, and bronchiectasis. The underlying pathophysiology involves reduced ciliary motility due to defects in ciliary structure and function within the respiratory tract and fallopian tubes. Diagnosis is typically confirmed through imaging studies such as X-rays, CT scans, and echocardiograms, which reveal the abnormal orientation of the heart and other organs. Treatment depends on the presence of associated conditions, such as congenital heart defects, respiratory infections and appropriate interventions with regular follow-up can help prevent complications. In this case, we present a 32-year-old female with a history of secondary infertility who presented with recurrent cough and fever. A thorough clinical examination was conducted, followed by radiological investigations that revealed chronic sinusitis, bronchiectasis, dextrocardia, and situs inversus totalis. She was subsequently treated with oral antibiotics, mucolytics, and initiated on chest physiotherapy. This case highlights the importance of considering Kartagener syndrome in patients presenting with recurrent respiratory infections and fertility issues.
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spelling doaj-art-98e71276f5514138ae04b434973655692025-01-18T05:04:02ZengElsevierRadiology Case Reports1930-04332025-03-0120315171521Incidental imaging detection of Kartagener syndrome in a female: A case reportNatasha Dhakal, MBBS0Prajwal Dahal, MD1Manmohan Cardiothoracic Vascular and Transplant Center, Kathmandu, NepalDepartment of Radiology and Imaging, Grande International Hospital, Kathmandu, Nepal; Corresponding author.Kartagener syndrome is a rare ciliopathic genetic disorder characterized by a triad of chronic sinusitis, situs inversus, and bronchiectasis. The underlying pathophysiology involves reduced ciliary motility due to defects in ciliary structure and function within the respiratory tract and fallopian tubes. Diagnosis is typically confirmed through imaging studies such as X-rays, CT scans, and echocardiograms, which reveal the abnormal orientation of the heart and other organs. Treatment depends on the presence of associated conditions, such as congenital heart defects, respiratory infections and appropriate interventions with regular follow-up can help prevent complications. In this case, we present a 32-year-old female with a history of secondary infertility who presented with recurrent cough and fever. A thorough clinical examination was conducted, followed by radiological investigations that revealed chronic sinusitis, bronchiectasis, dextrocardia, and situs inversus totalis. She was subsequently treated with oral antibiotics, mucolytics, and initiated on chest physiotherapy. This case highlights the importance of considering Kartagener syndrome in patients presenting with recurrent respiratory infections and fertility issues.http://www.sciencedirect.com/science/article/pii/S1930043324013542Kartagener syndromeSitus inversus totalisBronchiectasisInfertilityDextrocardia
spellingShingle Natasha Dhakal, MBBS
Prajwal Dahal, MD
Incidental imaging detection of Kartagener syndrome in a female: A case report
Radiology Case Reports
Kartagener syndrome
Situs inversus totalis
Bronchiectasis
Infertility
Dextrocardia
title Incidental imaging detection of Kartagener syndrome in a female: A case report
title_full Incidental imaging detection of Kartagener syndrome in a female: A case report
title_fullStr Incidental imaging detection of Kartagener syndrome in a female: A case report
title_full_unstemmed Incidental imaging detection of Kartagener syndrome in a female: A case report
title_short Incidental imaging detection of Kartagener syndrome in a female: A case report
title_sort incidental imaging detection of kartagener syndrome in a female a case report
topic Kartagener syndrome
Situs inversus totalis
Bronchiectasis
Infertility
Dextrocardia
url http://www.sciencedirect.com/science/article/pii/S1930043324013542
work_keys_str_mv AT natashadhakalmbbs incidentalimagingdetectionofkartagenersyndromeinafemaleacasereport
AT prajwaldahalmd incidentalimagingdetectionofkartagenersyndromeinafemaleacasereport