Nakagawa Y, Shimazu K
Department of Internal Medicine, Kumamoto National South Hospital.
Kansenshogaku Zasshi. 1998 May;72(5):553-6. doi: 10.11150/kansenshogakuzasshi1970.72.553.
A case of Kartagener's syndrome associated with multiple pulmonary complication was presented. A 19-year-old man was admitted to our hospital because of pulmonary tuberculosis in May 1972. He had been diagnosed as Kartagener's syndrome because of the presence of chronic parasinusitis, bronchiectasis and complete situs inversus. His chest radiographs in Dec 1972 revealed left pneumothorax. Chest radiographs in Aug 1975 appeared aspergilloma in the right middle lung field. He was administrated intravenous and oral anti-fungal agent and transbronchial installation of Amphotericin-B because of hemoptysis. Chest radiographs in July 1980 resolved the aspergilloma and his symptom were also resolved. In 1996, he had no pulmonary symptoms and respiratory failure. We consider that the Kartagener's syndrome was good prognosis with adequate pulmonary therapy.
本文报告1例伴有多种肺部并发症的卡塔格内综合征。一名19岁男性因肺结核于1972年5月入院。因其存在慢性鼻窦炎、支气管扩张和完全性内脏转位，被诊断为卡塔格内综合征。1972年12月其胸部X线片显示左气胸。1975年8月胸部X线片显示右中肺野曲菌球。因咯血，给予其静脉及口服抗真菌药物，并经支气管注入两性霉素B。1980年7月胸部X线片显示曲菌球消失，其症状也随之缓解。1996年，他无肺部症状及呼吸衰竭。我们认为，卡塔格内综合征经适当的肺部治疗后预后良好。
