Abdulrahman A., 1

Abdulrahman is a 1year old child living with his parents and eleven siblings. They are living in a polygamous setting. The father is a petty businessman and the mother is a house wife. They struggle so hard to provide for the family. They are living in a rented apartment where they're struggling to pay the house rent. They make use of water from the well for their daily activities and no access to electricity. Patient’s illness started two days ago with plentiful smelly, yellowish and mucoid stools. Two days later, he started having high fever which is associated with rejecting food. No history of vomiting, cough or fitting. He gradually became weak. On examination, child look very ill, febrile with temperature of 38.7o C, lethargic but not dyspneic, uniteric, acyanose and mildly pale. The parents couldn't afford to take him to the hospital, they reached out to Albishir hospital to benefit from Helpster Charity program. After evaluation, he was diagnosed with severe malaria and requires urgent medical treatment.

Patient’s illness started two days ago with plentiful smelly, yellowish and mucoid stools. Two days later, he started having high fever which is associated with rejecting food. No history of vomiting, cough or fitting. He gradually became weak. On examination, child look very ill, febrile with temperature of 38.7o C, lethargic but not dyspneic, uniteric, acyanose and mildly pale. Patient was admitted and treatment commenced with IVF to mitigate loss of fluids, thereafter continued with antimalarial injection, antibiotics and other supportive care. The family remained thankful for the support from Helpster Charity.

Adam is currently suffering from a severe malaria as a 1-year old child, this threatens the overall health. The prognosis of severe malaria depends largely on early diagnosis and prompt, appropriate treatment. With timely administration of intravenous artesunate and adequate supportive care, most patients recover fully. Delayed presentation, high parasite density, severe anemia, hypoglycemia, cerebral malaria, renal failure, or shock are associated with poorer outcomes. Children, pregnant women, and non-immune individuals are at higher risk of mortality and complications. Survivors generally have good recovery, although some—especially those with cerebral malaria—may experience residual neurological or cognitive deficits. Overall, prognosis is good with early intervention but can be fatal if treatment is delayed.