eMedicine Specialties > Pulmonology > Congenital Disorders

Kartagener Syndrome: Follow-up

Author: John P Bent lll, MD, Associate Professor, Director of Medical Student Education, Departments of Otolaryngology - Head and Neck Surgery and Pediatrics, Albert Einstein School of Medicine; Director, Airway Clinic, Children's Hospital at Montefiore
Coauthor(s): Esther X Vivas, MD, Staff Physician, Montefiore Medical Center, Bronx, New York
Contributor Information and Disclosures

Updated: Apr 2, 2009

Follow-up

Prognosis

Chronic childhood infections can be very debilitating, but the range and severity of clinical symptoms is wide. Fortunately, primary ciliary dyskinesia (PCD) and Kartagener syndrome (KS) usually become less problematic near the end of the patient's second decade, and many patients have near normal adult lives.

Miscellaneous

Medicolegal Pitfalls

While physicians may be accused of failing to diagnose PCD, currently, these disorders are not known for their medicolegal risks.

Special Concerns

  • Future and controversies
    • In vitro fertilization holds promise for fertility problems.
    • The field of genetics holds the best hope for future advances in diagnosis and therapy.
 
Acknowledgments

The authors and editors of eMedicine gratefully acknowledge the contributions of previous author, Matthew Olearczyk, MD, to the development and writing of this article.



More on Kartagener Syndrome

Overview: Kartagener Syndrome
Differential Diagnoses & Workup: Kartagener Syndrome
Treatment & Medication: Kartagener Syndrome
Follow-up: Kartagener Syndrome
References

References

  1. Kartagener M. Zur pathogenese der bronchiectasien. I Mitteilung:bronchiectasien bei situs viscerum inversus. Betr Klin Tuberk. 1933;83:498-501.

  2. Camner P, Mossberg B, Afzelius BA. Evidence of congenitally nonfunctioning cilia in the tracheobronchial tract in two subjects. Am Rev Respir Dis. Dec 1975;112(6):807-9. [Medline].

  3. Afzelius BA. A human syndrome caused by immotile cilia. Science. Jul 23 1976;193(4250):317-9. [Medline].

  4. Eliasson R, Mossberg B, Camner P, Afzelius BA. The immotile-cilia syndrome. A congenital ciliary abnormality as an etiologic factor in chronic airway infections and male sterility. N Engl J Med. Jul 7 1977;297(1):1-6. [Medline].

  5. Rossman CM, Forrest JB, Lee RM, Newhouse MT. The dyskinetic cilia syndrome. Ciliary motility in immotile cilia syndrome. Chest. Oct 1980;78(4):580-2. [Medline].

  6. Sturgess JM, Chao J, Wong J, Aspin N, Turner JA. Cilia with defective radial spokes: a cause of human respiratory disease. N Engl J Med. Jan 11 1979;300(2):53-6. [Medline].

  7. Pedersen M. Specific types of abnormal ciliary motility in Kartagener's syndrome and analogous respiratory disorders. A quantified microphoto-oscillographic investigation of 27 patients. Eur J Respir Dis Suppl. 1983;127:78-90. [Medline].

  8. Greenstone M, Stanley P, Cole P, Mackay I. Upper airway manifestations of primary ciliary dyskinesia. J Laryngol Otol. Oct 1985;99(10):985-91. [Medline].

  9. Bush A, Chodhari R, Collins N, Copeland F, Hall P, Harcourt J. Primary ciliary dyskinesia: current state of the art. Arch Dis Child. Dec 2007;92(12):1136-40. [Medline].

  10. Nadel HR, Stringer DA, Levison H, Turner JA, Sturgess JM. The immotile cilia syndrome: radiological manifestations. Radiology. Mar 1985;154(3):651-5. [Medline].

  11. Corbelli R, Bringolf-Isler B, Amacher A, Sasse B, Spycher M, Hammer J. Nasal nitric oxide measurements to screen children for primary ciliary dyskinesia. Chest. Oct 2004;126(4):1054-9. [Medline].

  12. Kupferberg SB, Bent JP, Porubsky ES. The evaluation of ciliary function: electron versus light microscopy. Am J Rhinol. May-Jun 1998;12(3):199-201. [Medline].

  13. Mierau GW, Agostini R, Beals TF, Carlén B, Dardick I, Henderson DW, et al. The role of electron microscopy in evaluating ciliary dysfunction: report of a workshop. Ultrastruct Pathol. Jan-Apr 1992;16(1-2):245-54. [Medline].

  14. Desai M, Weller PH, Spencer DA. Clinical benefit from nebulized human recombinant DNase in Kartagener's syndrome. Pediatr Pulmonol. Nov 1995;20(5):307-8. [Medline].

  15. Parsons DS, Greene BA. A treatment for primary ciliary dyskinesia: efficacy of functional endoscopic sinus surgery. Laryngoscope. Nov 1993;103(11 Pt 1):1269-72. [Medline].

  16. Afzelius BA, Gargani G, Romano C. Abnormal length of cilia as a possible cause of defective mucociliary clearance. Eur J Respir Dis. Mar 1985;66(3):173-80. [Medline].

  17. Bent JP 3rd, Smith RJ. Intraoperative diagnosis of primary ciliary dyskinesia. Otolaryngol Head Neck Surg. Jan 1997;116(1):64-7. [Medline].

  18. Carlén B, Stenram U. Ultrastructural diagnosis in the immotile cilia syndrome. Ultrastruct Pathol. 1987;11(5-6):653-8. [Medline].

  19. Chin GY, Karas DE, Kashgarian M. Correlation of presentation and pathologic condition in primary ciliary dyskinesia. Arch Otolaryngol Head Neck Surg. Nov 2002;128(11):1292-4. [Medline].

  20. de Iongh RU, Rutland J. Ciliary defects in healthy subjects, bronchiectasis, and primary ciliary dyskinesia. Am J Respir Crit Care Med. May 1995;151(5):1559-67. [Medline].

  21. Eavey RD, Nadol JB Jr, Holmes LB, Laird NM, Lapey A, Joseph MP, et al. Kartagener's syndrome. A blinded, controlled study of cilia ultrastructure. Arch Otolaryngol Head Neck Surg. Jun 1986;112(6):646-50. [Medline].

  22. el-Sayed Y, al-Sarhani A, al-Essa AR. Otological manifestations of primary ciliary dyskinesia. Clin Otolaryngol Allied Sci. Jun 1997;22(3):266-70. [Medline].

  23. Engesaeth VG, Warner JO, Bush A. New associations of primary ciliary dyskinesia syndrome. Pediatr Pulmonol. Jul 1993;16(1):9-12. [Medline].

  24. Fonzi L, Lungarella G, Palatresi R. Lack of kinocilia in the nasal mucosa in the immotile-cilia syndrome. Eur J Respir Dis. Nov 1982;63(6):558-63. [Medline].

  25. Lungarella G, De Santi MM, Palatresi R, Tosi P. Ultrastructural observations on basal apparatus of respiratory cilia in immotile cilia syndrome. Eur J Respir Dis. Mar 1985;66(3):165-72. [Medline].

  26. Lurie M, Rennert G, Goldenberg S, Rivlin J, Greenberg E, Katz I. Ciliary ultrastructure in primary ciliary dyskinesia and other chronic respiratory conditions: the relevance of microtubular abnormalities. Ultrastruct Pathol. Sep-Oct 1992;16(5):547-53. [Medline].

  27. Mygind N, Pedersen M. Nose-, sinus- and ear-symptoms in 27 patients with primary ciliary dyskinesia. Eur J Respir Dis Suppl. 1983;127:96-101. [Medline].

  28. Noone PG, Leigh MW, Sannuti A, Minnix SL, Carson JL, Hazucha M, et al. Primary ciliary dyskinesia: diagnostic and phenotypic features. Am J Respir Crit Care Med. Feb 15 2004;169(4):459-67. [Medline].

  29. Philpott CM, McKiernan DC. Bronchiectasis and sino-nasal disease: a review. J Laryngol Otol. Jan 2008;122(1):11-5. [Medline].

  30. Rayner CF, Rutman A, Dewar A, Greenstone MA, Cole PJ, Wilson R. Ciliary disorientation alone as a cause of primary ciliary dyskinesia syndrome. Am J Respir Crit Care Med. Mar 1996;153(3):1123-9. [Medline].

  31. Schidlow DV. Primary ciliary dyskinesia (the immotile cilia syndrome). Ann Allergy. Dec 1994;73(6):457-68; quiz 468-70. [Medline].

  32. Sleigh MA, Blake JR, Liron N. The propulsion of mucus by cilia. Am Rev Respir Dis. Mar 1988;137(3):726-41. [Medline].

  33. Teknos TN, Metson R, Chasse T, Balercia G, Dickersin GR. New developments in the diagnosis of Kartagener's syndrome. Otolaryngol Head Neck Surg. Jan 1997;116(1):68-74. [Medline].

  34. van der Baan S, Veerman AJ, Bezemer PD, Feenstra L. Primary ciliary dyskinesia: quantitative investigation of the ciliary ultrastructure with statistical analysis. Ann Otol Rhinol Laryngol. May-Jun 1987;96(3 Pt 1):264-72. [Medline].

  35. van der Baan S, Veerman AJ, Wulffraat N, Bezemer PD, Feenstra L. Primary ciliary dyskinesia: ciliary activity. Acta Otolaryngol. Sep-Oct 1986;102(3-4):274-81. [Medline].

Further Reading

Keywords

Kartagener syndrome, KS, immotile cilia syndrome, primary ciliary dyskinesia, PCD, situs inversus, chronic sinusitis, bronchiectasis

Contributor Information and Disclosures

Author

John P Bent lll, MD, Associate Professor, Director of Medical Student Education, Departments of Otolaryngology - Head and Neck Surgery and Pediatrics, Albert Einstein School of Medicine; Director, Airway Clinic, Children's Hospital at Montefiore
John P Bent lll, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American Medical Association, American Rhinologic Society, American Society of Pediatric Otolaryngology, Society for Ear, Nose and Throat Advances in Children, and Society of University Otolaryngologists-Head and Neck Surgeons
Disclosure: Nothing to disclose.

Coauthor(s)

Esther X Vivas, MD, Staff Physician, Montefiore Medical Center, Bronx, New York
Esther X Vivas, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery and American Medical Association
Disclosure: Nothing to disclose.

Medical Editor

Ryland P Byrd Jr, MD, Professor, Department of Internal Medicine, Division of Pulmonary Medicine and Critical Care Medicine, James H Quillen College of Medicine, East Tennessee State University; Chief of Pulmonary Medicine, Medical Director of Respiratory Therapy, Intensive Care Unit, Program Director of Pulmonary Diseases and Critical Care Medicine Fellowship, James H Quillen Veterans Affairs Medical Center
Ryland P Byrd Jr, MD is a member of the following medical societies: American College of Chest Physicians, American Thoracic Society, and Southern Medical Association
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Daniel R Ouellette, MD, FCCP, Associate Professor of Medicine, Wayne State University School of Medicine; Consulting Staff, Pulmonary Disease and Critical Care Medicine Service, Henry Ford Health System
Daniel R Ouellette, MD, FCCP is a member of the following medical societies: American College of Chest Physicians and American Thoracic Society
Disclosure: Boehringer Ingleheim Honoraria Speaking and teaching; Pfizer Honoraria Speaking and teaching

CME Editor

Timothy D Rice, MD, Associate Professor, Departments of Internal Medicine and Pediatrics and Adolescent Medicine, Saint Louis University School of Medicine
Timothy D Rice, MD is a member of the following medical societies: American Academy of Pediatrics and American College of Physicians
Disclosure: Nothing to disclose.

Chief Editor

Zab Mosenifar, MD, Director, Division of Pulmonary and Critical Care Medicine, Director, Women's Guild Pulmonary Disease Institute, Executive Vice Chair, Department of Medicine, Cedars Sinai Medical Center; Professor of Medicine, David Geffen School of Medicine at UCLA
Zab Mosenifar, MD is a member of the following medical societies: American College of Chest Physicians, American College of Physicians, American Federation for Medical Research, and American Thoracic Society
Disclosure: Nothing to disclose.

 
 
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