Kelly A., 2

Kelly Adrian is a two-year-old boy living with both his parents in a rural village. He is the youngest in a family of six children and the only boy. When well, Adrian enjoys playing with his siblings, especially games like hide and seek, and relates well with other children. His father relies on casual jobs to support the family, often struggling to provide regular meals, while his mother is a homemaker who supplements income through a small kitchen garden. Adrian was brought to the facility with a three-day history of fever, general body weakness, convulsions, and diarrhea. His mother had initially given him paracetamol at home, but his condition worsened. On arrival, he was critically ill and actively convulsing, requiring immediate emergency care, including oxygen support and investigations. After stabilization, he was diagnosed with severe malaria and moderate anemia, requiring urgent admission. His mother expressed inability to meet the medical costs, having only KES 200, and sought support after learning about Helpster Charity through a local Christian group.

Kelly Adrian, a 2-year-old child, was admitted on 25/03/2026 with high-grade fever, convulsions, weakness, and signs of severe malaria with anaemia. On admission, the child appeared weak, febrile, and clinically unstable, necessitating urgent intervention. Immediate treatment was initiated with injectable artesunate to treat severe malaria. Due to convulsions, diazepam injection was administered for rapid control, followed by phenobarbital injection for sustained seizure management. The child was started on intravenous fluids (Ringer’s Lactate alternating with Dextrose 5%) to correct dehydration and maintain electrolyte balance. Additionally, ceftriaxone injection was given to cover possible secondary bacterial infection, while paracetamol suspension was used to control fever. Over the course of admission, Kelly showed gradual improvement. The fever subsided, convulsions were controlled, and the child became more active with improved feeding and general condition. Clinical signs of anaemia stabilized with supportive care. By 28/03/2026, Kelly Adrian had significantly improved and was clinically stable for discharge. The child was discharged on: Azithromycin suspension Metronidazole suspension Coartem tablets (to complete antimalarial treatment) Multivitamin syrup Caregivers were advised on medication adherence, proper nutrition, and the importance of follow-up. Kelly Adrian was discharged in a stable condition with a good recovery outcome.

Kelly’s condition was critical due to severe malaria complicated by severe anaemia, both of which significantly increased the risk of poor outcomes. Prompt emergency care, including antimalarial treatment, supportive therapy, and possible blood transfusion, was essential. With timely and appropriate management, his condition can improve; however, close monitoring is necessary to manage complications and support full recovery.