DOI: 10.36347/sjmcr.2014.v02i11.002

Pages: 705-707

Kartagener’s syndrome is an autosomal recessive disorder characterised by classical triad of situs inversus, bronchiectasis, and sinusitis. This syndrome is seen in 1 in 20000 to 1 in 60000. A 17 year old female student presented with recurrent cold, headache from the past 7 years. Last year she developed cough with expectoration .Her family history was not significant. On ENT examination she had tenderness over on frontal sinus. Ear and Throat examination were normal. Clinical examination revealed apical impulse on right side at 5th intercostals space at 1inch lateral to mid clavicular line. Heart sounds were prominent on right side. Respiratory examination was normal. Chest X-ray revealed Dextrocardia while Electrocardiography and 2D- Echo supported it. X-ray paranasal sinuses showed features of sinusitis. High Resolution computed Tomography showed bronchiectatic changes in mid zones and situs inversus. Spirometry shows borderline obstructive pattern. Sputum for Acid-fast bacilli negative and culture for pathogenic organisms remained sterile. Saccharin test was positive after 44 min. Invasive procedures were not done and diagnosis was made clinicoradiologically. As this syndrome is rare in females, fertility issues and hearing defects can be anticipated during course of time. Hence, thorough counselling and diagnosis (Otorhinological &Chest examination) should be made at the earliest. Early diagnosis and counselling will help the patients to take precautionary measures to prevent complications (i.e. fallopian tube blockage, conductive hearing defects, etc) in future.