Abubakar Y., 3

Abubakar is a 3-year-old boy living with his parents and siblings in a low-income household. His father is a labourer and his mother a petty trader, and the family struggles to meet daily needs, including food and education. They live in modest conditions without electricity and rely on well water for daily use. He was well until about 10 days ago when he developed a runny nose, followed by fever 3 days ago. His condition worsened with persistent vomiting, watery stools, poor sleep, and swelling of the left eye with discharge. On examination, he was febrile, irritable, tachypneic, and had a visibly swollen left eye. He was diagnosed with severe malaria and a urinary tract infection, both requiring urgent medical attention and treatment.

Patient was well until 10 days when he started having ruing nose and fever developed 3 days ago. The condition became critical 3 days with vomiting everything and watery stools and could not sleep well. The left eye got swollen with itching and mild pain and discharge. On examination, a 3 yo male child, febrile ++(38.3o C), irritable, Tachypneic, unicteric, acyanosed. Swollen (L) eye. He was diagnosed with severe malaria and urinary tract infection. On admission, treatment was commenced with injection antimalarial, injection antibiotic and other supportive care to stabilize patient. Patient did well on medication, temperature was normal, no more fever and other associated complaints. He was discharged with some oral medication and asked to return for follow up after 1 week. Family remained grateful to Helpster Charity for the medical support.

Severe malaria and urinary tract infection are serious conditions in young children that can lead to significant systemic illness. Severe malaria is associated with high parasite levels and can cause complications such as anemia and organ dysfunction, while urinary tract infection may lead to fever, vomiting, and risk of spread to the kidneys or bloodstream. The combination increases the child’s vulnerability and requires prompt medical care. With appropriate treatment, including antimalarial therapy, antibiotics, and supportive care, recovery is expected. Prognosis is generally good with timely intervention, but delayed or inadequate treatment may result in complications such as dehydration, worsening infection, or systemic involvement.