Abstract
Renal tuberculosis (TB) is a rare clinical disorder in the pediatric population. A 15-year-old female presented with intermittent blurring of vision in both eyes associated with fever, abdominal pain, and weight loss. Fundus examination showed bilateral disc edema. Her blood pressure was 220/110 mmHg. Renal parameters were deranged with bilaterally enlarged kidneys. Renal biopsy was suggestive of epithelioid cell granuloma with Langhans type giant cells. The patient was diagnosed with as a case of refractory hypertension due to tubercular interstitial nephritis with bilateral Grade IV hypertensive retinopathy. She was started on antitubercular therapy and antihypertensives. There was a complete resolution of disc edema 2 months following initiation of therapy. Optic disc edema can be a presenting sign in renal TB. Early diagnosis and prompt referral can be associated with good visual and systemic outcomes.
Keywords
Publication details
- DOI
- 10.4103/ojo.ojo_12_22
- Journal
- Oman Journal of Ophthalmology, 16(1), 139-141
- Publisher
- Medknow Publications
- Open access
- Gold open access
Cite this article
APA 7
Mishra, B., Mishra, S., Srija, Y. N., & Panigrahi, P. K. (2023). Bilateral disc edema: An unusual presentation of renal tuberculosis in a child. Oman Journal of Ophthalmology, 16(1), 139-141. https://doi.org/10.4103/ojo.ojo_12_22
MLA 9
Mishra, Biswajit, et al. "Bilateral disc edema: An unusual presentation of renal tuberculosis in a child." Oman Journal of Ophthalmology, vol. 16, no. 1, 2023, pp. 139-141. https://doi.org/10.4103/ojo.ojo_12_22.
Chicago (author–date)
Mishra, Biswajit, Suchismita Mishra, Yamijala Neha Srija, and Pradeep Kumar Panigrahi. 2023. "Bilateral disc edema: An unusual presentation of renal tuberculosis in a child." Oman Journal of Ophthalmology 16 (1): 139-141. https://doi.org/10.4103/ojo.ojo_12_22.
Harvard
Mishra, B., Mishra, S., Srija, Y. N. and Panigrahi, P. K. (2023) 'Bilateral disc edema: An unusual presentation of renal tuberculosis in a child', Oman Journal of Ophthalmology, 16(1), pp. 139-141. doi:10.4103/ojo.ojo_12_22.
Vancouver
Mishra B, Mishra S, Srija YN, Panigrahi PK. Bilateral disc edema: An unusual presentation of renal tuberculosis in a child. Oman Journal of Ophthalmology. 2023;16(1):139-141. doi:10.4103/ojo.ojo_12_22
IEEE
B. Mishra, S. Mishra, Y. N. Srija, and P. K. Panigrahi, "Bilateral disc edema: An unusual presentation of renal tuberculosis in a child," Oman Journal of Ophthalmology, vol. 16, no. 1, pp. 139-141, 2023, doi: 10.4103/ojo.ojo_12_22.