Case Report


A rare presentation of end stage kidney disease in a 15-year-old girl: A case report

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1 MBBS, FWACP, MSc. Consultant Paediatrician/Associate Professor, The Renal Unit, Department of Paediatrics, Abia State University Teaching Hospital, Aba, Abia State, Nigeria

2 MBBS, FWACP, Consultant Ophthalmologist, Senior Lecturer, The Ophthalmology Unit, Department of Surgery, Abia State University Teaching Hospital, Aba, Abia State, Nigeria

Address correspondence to:

Nneka Chioma Okoronkwo

Department of Paediatrics, Abia State University Teaching Hospital, Aba, P O Box 21953, Aba, Abia State,

Nigeria

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Article ID: 100017Z19NO2023

doi: 10.5348/100017Z19NO2023CR

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How to cite this article

Okoronkwo NC, Otuka OAI. A rare presentation of end stage kidney disease in a 15-year-old girl: A case report. J Case Rep Images Pediatr 2023;5(1):6–12.

ABSTRACT


Introduction: Chronic kidney disease (CKD) among children is on the rise, both locally and globally. The burden of managing CKD in children from resource-poor centers and the developing nations as a whole is quite challenging. Pediatric CKD has remained a death sentence in many poor nations of the world, including Nigeria. Chronic kidney disease is asymptomatic in its earliest stages, although urinalysis findings or blood pressure may be abnormal. As CKD progresses to more advanced stages, signs and symptoms greatly increase, making the diagnosis of CKD more obvious.

Case Report: We hereby report a rare presentation of only headache, sudden blindness, hypertension, and retinal detachment as the only pointer to end stage kidney disease (ESKD) in a 15-year-old girl.

Conclusion: There is need for nephro-prevention in children, and a higher index of suspicion for CKD, with the intention of reducing or halting disease progression at earlier stages of the disease.

Keywords: Case report, Children, CKD, ESKD

SUPPORTING INFORMATION


Acknowledgments

We acknowledge all the members of the management team of this index patient who provided financial support while the patient was under our care. Special thanks to Dr Stanley Ngwudo for summarizing the case notes.

Author Contributions

Nneka Chioma Okoronkwo - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Olufunmi Adebimpe Ijeoma Otuka - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2023 Nneka Chioma Okoronkwo et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.