Unusual Late Presentation of Kartagener Syndrome: A Case Report

Kartagener ' s syndrome (KS) is a rare inherited autosomal recessive condition. It comprises the triad chronic sinusitis, bronchiectasis, and situs inversus. The symptoms are more prevalent in children in the early years of life. We describe a case of a 15-year-old child showing severe respiratory distress with a history of intermittent wet cough and rhinitis for the past 6 months. The patient was diagnosed with dextrocardia at birth and had no signi fi cant medical history since then. Based on his clinical presentation and imaging fi ndings, he was diagnosed with KS which was con fi rmed by whole-exome sequencing. The patient was managed with conventional medical therapy and noninvasive ventilation. He was discharged on a long-term intermittent prophylactic antibiotic regimen. KS should be suspected in any child with dextrocardia who has recurrent respiratory tract infections. Early detection of KS is critical for avoiding complications and improving patients ' quality of life.