Rebecca A., 6

Rebecca is the youngest of five siblings. Both of her parents are alive and work hard to support the family, although their income is not enough to cover all their basic needs. Her mother gathers and sells firewood from nearby bushes, while her father works as a herdsman on a local homestead. Rebecca is a lively and active girl who attends school, as do her siblings. Recently, Rebecca was taken to the clinic by her mother due to several concerning symptoms, including a high fever, wounds on both her upper and lower limbs, and persistent vomiting. She had not received any medication prior to this hospital visit. Upon examination, she was found to be in fair general condition. She showed no signs of jaundice, anemia, or dehydration, but appeared weak and unwell. Laboratory tests were conducted, and the results confirmed that Rebecca was suffering from severe malaria and scabies. She was immediately started on appropriate treatment.

Rebecca was brought to the hospital with fever, several episodes of vomiting, and wounds appearing on her hands and feet. She was diagnosed with severe malaria and scabies. She was given an Artesunate injection for the malaria, her wounds were also dressed. She was later discharged on orals and advised to keep the wounds clean. The mother later reported to the Nurse at the facility that Rebecca's wounds had healed and could even where shoes. She also reports that Rebeccas could now play with fellow children

Severe malaria has a variable prognosis, ranging from full recovery with prompt treatment to a fatal outcome, particularly if left untreated. The outcome depends on factors like the severity of infection, individual health status, and the promptness and effectiveness of treatment. Scabies is generally curable with appropriate treatment, resulting in a good prognosis for most individuals. However, in endemic areas, re-infestation from close contacts is likely. Itching may persist for a couple of weeks after treatment, but typically resolves. The doctor recommeded medication that would benefit the child.