RT Book, Section
A1 Campbell, Timothy
A1 Schroer, Brian
A2 Usatine, Richard P.
A2 Sabella, Camille
A2 Smith, Mindy Ann
A2 Mayeaux, E.J.
A2 Chumley, Heidi S.
A2 Appachi, Elumalai
SR Print(0)
ID 1114880406
T1 Primary Ciliary Dyskinesia
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114880406
RD 2024/04/23
AB A  13-year-old  boy  presents  for  evaluation  of  a  chronic  productive  cough  and  fever.  Since  birth,  he  has  had  persistent  rhinitis,  thick  nasal  drainage,  and  recurrent  otitis  media.  He  has  been  seen  three  times  in  the  past  year  for  pneumonia  each  time  diagnosed  and  treated  without  a  chest  x-ray.  On  physical  exam,  heart  sounds  are  greater  on  the  right  side  and  point  of  maximal  impulse  is  felt  in  the  right  5th  intercostals  space.  A  chest  x-ray  shows  situs  inversus  totalis  with  dextrocardia  (Figure  217-1).  Computed  tomography  of  the  sinuses  shows  chronic  sinusitis  (Figure  217-2).  The  diagnosis  of  primary  ciliary  dyskinesia  was  considered  and  he  underwent  a  biopsy  of  his  nasal  epithelium,  which  revealed  abnormal  ciliary  structure  and  function.  This  confirmed  the  diagnosis  and  the  physician  explained  the  meaning  of  primary  ciliary  dyskinesia  and  the  situs  inversus  to  the  patient  and  his  parents.  He  was  told  that  he  will  need  aggressive  treatments  for  all  future  infections.