CSCCM公众平台已开通评论功能，欢迎您阅读后在屏幕下方留下精彩评论，以实现重症医学同道们越来越好的交流。
ImagesinClinicalMedicineLeft-Middle-LobePneumoniaLingYuanKong,YvesLongtinNEnglJMed;:e8DOI:10./NEJMicmA34-year-oldmanpresentedtotheemergencydepartmentwitha5-dayhistoryoffever,cough,anddyspnea.Hehadreceivedadiagnosisofsitusinversuswhenhewas2yearsofage,afterachestradiographhadbeenobtainedinordertoevaluateacough.Physicalexaminationwasnotableforheartsoundsintherightsideofhischestandforcracklesinthemiddlefieldoftheleftlung.Radiographyofthechestrevealedacardiacapex,aorticarch,andgastricbubbleintherightsideofthebodyandalobarinfiltrateintheleftlung.Aleft-middle-lobepneumoniawasdiagnosed.Thepatientreportedthathehadhadchroniccoughandrecurrentsinusitissincechildhood,andhealsoreportedinfertility—conditionsthatsuggestadiagnosisofKartagener’ssyndrome,whichischaracterizedbysitusinversus,recurrentsinusitis,andbronchiectasis(whichwasnotseenonhischestradiograph).Thissyndromeisaformofprimaryciliarydyskinesia,anautosomalrecessiveconditionthatiscausedbymutationsingenesencodingciliary北京哪里看白癜风比较好贵州治疗白癜风
