{
  "abstract": "A woman in late adolescence presented with numbness and tingling in both upper limbs and exertional dyspnoea. Clinical examination and imaging confirmed Klippel-Feil Syndrome (KFS) with multiple cervical vertebral fusions, Sprengel’s deformity, right lung hypoplasia and dextrocardia. Initial management with bronchodilators and cardiopulmonary rehabilitation led to symptomatic improvement. However, on follow-up, the patient developed progressive respiratory symptoms, and subsequent investigations revealed pulmonary tuberculosis. Despite the initiation of anti-tubercular therapy, her condition deteriorated, and she unfortunately succumbed to complications. This case illustrates a rare and severe multisystemic presentation of KFS and highlights the importance of thorough evaluation, long-term surveillance and vigilance for opportunistic infections in patients with congenital thoracic anomalies.",
  "authors": [
    {
      "affiliations": [
        "Respiratory Medicine, Datta Meghe Institute of Higher Education and Research Deemed to be University, Wardha, Maharashtra, India"
      ],
      "name": "Amit Toshniwal"
    },
    {
      "affiliations": [
        "Respiratory Medicine, Datta Meghe Institute of Higher Education and Research Deemed to be University, Wardha, Maharashtra, India"
      ],
      "name": "Babaji Ghewade"
    },
    {
      "affiliations": [
        "Radio Diagnosis, Datta Meghe Institute of Higher Education and Research Deemed to be University, Wardha, Maharashtra, India"
      ],
      "name": "Alushika Jain"
    },
    {
      "affiliations": [
        "Respiratory Medicine, Datta Meghe Institute of Higher Education and Research Deemed to be University, Wardha, Maharashtra, India"
      ],
      "name": "Poonam Avinash Patil"
    }
  ],
  "title": "Multisystemic presentation of Klippel-Feil syndrome with dextrocardia and right lung hypoplasia",
  "uid": "bce39e27-6c43-51e5-a738-475b5cc35a36"
}