[
    {
        "id": "osp-12188",
        "type": "article-journal",
        "title": "Bilateral disc edema: An unusual presentation of renal tuberculosis in a child",
        "author": [
            {
                "family": "Mishra",
                "given": "Biswajit"
            },
            {
                "family": "Mishra",
                "given": "Suchismita"
            },
            {
                "family": "Srija",
                "given": "Yamijala Neha"
            },
            {
                "family": "Panigrahi",
                "given": "Pradeep Kumar"
            }
        ],
        "URL": "https://omanscience.com/en/articles/bilateral-disc-edema-an-unusual-presentation-of-renal-tuberculosis-in-a-child",
        "language": "en",
        "issued": {
            "date-parts": [
                [
                    2023
                ]
            ]
        },
        "container-title": "Oman Journal of Ophthalmology",
        "volume": "16",
        "issue": "1",
        "page": "139-141",
        "DOI": "10.4103/ojo.ojo_12_22",
        "publisher": "Medknow Publications",
        "ISSN": "0974-620X",
        "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."
    }
]