Ummisalma A., 2

Ummisalma is a 2 year old female child living with her parents. She is the 5th child among five siblings. She has been battling with her health for sometimes now making her inactive and unable to play with her peers. The father is a labourer and the mother is a petty trader even with that they struggle to feed in the family. They make use of water from the only borehole in their village, they don't have access to electricity. They live in a 3 rooms apartment. Baby was apparently well until one week ago when she started crying persistently at night and mother noticed boils on her scalp and lower limb which boated and discharge pus. Her condition became worse and three days ago she started passing watery mucoid stools and asking her for water(thirstiness) with associated reddish urine. She started coughing with nasal discharge and noisy breathing which disrupts her sleeping two days ago. Mother notice swelling of the face and lower limbs from yesterday associated with skin paleness. Upon presentation at our hospital with fever, cough, difficulty in breathing, generalized weakness, and reduced appetite. Clinical examination revealed elevated body temperature, pallor, and respiratory distress. Auwal was thoroughly examination done shows a clinically ill looking child, very ill with reddish, thin and sparsely distributed hair. Flatty and septic skin rashes, facial swelling and paleness, anicteric, acyanosed and febrile (38.7o C). Wheezy breathing with Tachypneic. Chest auscultation showed crepitations suggestive of pneumonia. Laboratory investigations confirmed malaria parasitemia and reduced hemoglobin level indicating anemia. She was diagnosed with Pneumonia, Acute malaria and Anemia.

Ummisalma, a 2year old female child was well until one week ago when she developed persistent night crying and boils on the scalp and limbs that discharged pus. She later developed watery mucoid stools, thirst, reddish urine, cough, and noisy breathing. Examination showed fever, pallor, edema, septic rashes, and tachypnea. She was diagnosed with pneumonia, acute malaria, and anemia. Treatment commenced with antimalarial injections, antibiotics as well as other supportive medications. After days of hospital stay, patient responded to treatment, temperature was down to normal, no more persistent crying, eating resumed well and patient was discharged with some oral medications. She is to be brought back for follow up after one week. They all looked happy, they expressed gratitude to Helpster Charity for the medical support.

Auwal is quite sick and was admitted into the hospital urgently for treatment. He looks clinically very ill with reddish, thin and sparsely distributed hair. Flatty and septic skin rashes, facial swelling and paleness, anicteric, acyanosed and warm to touch (38.7o C). Wheezy breathing with Tachypneic and crepitations. She was diagnosed with pneumonia, acute malaria and anemia. Appropriate administration of antimalarial drugs, antibiotics, and supportive care usually leads to clinical improvement. However, if treatment is delayed, complications such as severe anemia, respiratory distress, or organ dysfunction may occur. Close monitoring and adequate follow-up are essential for full recovery. Prognosis depends on prompt treatment.