Joseph A., 3

Joseph Adosu is a 3 year old child living in Makoko , a very impoverished area in Lagos state Nigeria. During the Meyiwavera medical outreach program, conducted in partnership with Helpster Charity in Makoko, children were being screened and Joseph was one of those children. This type of community health initiative is crucial in underserved areas, as it can identify children who might otherwise go undiagnosed and untreated. Joseph Adosu was presented at our facility with complaint of recurrent bone pain across all joints . There is also history of yellowness of the eyes, fever and passage of dark coloured urine . Upon presentation at our hospital , and after further clinical evaluation, he was diagnosed with Sickle cell Anemia and Acute Upper respiratory tract infection.

Joseph is a 3-year-old boy with newly diagnosed HbSS who presented with recurrent bone pains across all joints, alongside a history of fever and dark-coloured urine. He was seen at Atlantis Pediatric Hospital and commenced on Folic Acid, Proguanil, Vitamin B Complex, Cetirizine, and Saline Nasal Drops. He is currently being monitored and supported through routine care.

The patient has a known history of Sickle Cell Anemia (HbSS) and is presently diagnosed with an Acute Upper Respiratory Tract Infection (URTI). Joseph needs monitoring for anemia and his viral infection. He has sickle cell disease with low hemoglobin (Hb 7.16) and a mild viral upper respiratory infection, but his examination and urine test are otherwise normal. Prognosis is not always good for SCD but with consistent medication, good hydration, and follow-up for his anemia, he is expected to improve.