TY - CHAP M1 - Book, Section TI - Primary Ciliary Dyskinesia 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 PY - 2015 T2 - The Color Atlas of Pediatrics 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. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1114880406 ER -