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Yıl:2009; Cilt: 22; Sayı: 1-4>> Özet
TAM METİN
Düşünen Adam: Psikiyatri ve Nörolojik Bilimler Dergisi; 2009;22(1-4):32-35
Kartagener Sendromu ve Psikotik Bozukluk: Olgu Sunumu
A Ermiş, A Türkcan, ME Ceylan, AF Maner
Bakırköy Ruh ve Sinir Hastalıkları Hastanesi
Kartagener sendromu, situs inversus, bronşektazi ve sinüzit triadından oluşan ender, otozomal resesif geçişli kongenital bir malformasyondur. Makalemizde Kartagener sendromu olan ve psikotik bozukluk saptanan bir olgu sunulmuştur. Olgu 32 yaşında, lise mezunu, evli, 2 çocuklu erkek hastadır. Öyküsünden son iki ayda psikotik bulguların giderek arttığı, bu süre içinde iki intihar girişiminin olduğu ve yatarak tedavi gördüğü öğrenilmiştir. Psikiyatrik muayenede duygulanımın sığ olduğu, işitsel varsanılar ve perseküsyon hezeyanlarına sekonder gelişen endişe, korku, yaşamdan zevk almama, intihar düşünceleri ve girişimleri ile seyreden ikincil depresyonunun olduğu belirlendi. İşitsel varsanılar ve içe kapanmanın ön planda olduğu hastalık tablosunun üç yıldır devam ettiği öğrenildi. Öz geçmişinde 9 yaşında iken hastaya Kartagener sendromu teşhisi konduğu öğrenildi.
Kartagener's Syndrome and Psychotic Disorder: A Case Presentation
Kartagener�s syndrome is a rare congenital malformation and characterized by the triad of bronchiectasis, sinusitis, and situs inversus. We presented a case diagnosed as Kartagener�s syndrome and psychotic disorder. The case was a male patient, 32 [year]s old, high school educated, married, with two children. He had a history with increasing psychotic symptoms and two times of suicide attempts, for the last two [month]s and hospitalisations. In the psychiatric examination affect was blunted, there were anxiety, fear due to auditive hallusinations and referance delusions, anhedonia, suicidal thoughts and attempts, secondary depression. Psychiatric disorder predominently with auditive hallusinations and social withdrawal had aduration of three [year]s. He was diagnosed Kartagener�s Syndrome when he was nine [year]s old.

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