Bashir A., 1

Alkasim is a 6 months old male child who is living with his parents. He has 6 other siblings. He is growing up so well taken care of and is always seen actively playing around with his older siblings. The father is a labourer and the mother is a house wife. They live in a 2 rooms apartment, they make use of borehole water with no access to electricity. Bashir is six months old male infant whose illness started three days ago with cough productive of yellowish nasal discharge. At the same time baby became extremely hot but no convulsion. Mother noticed oral rash with refusal to feed and difficulty in sleeping at night. He vomits everything ingested. On examination, a six months old baby looking very ill, febrile (38.0o C), anicteric, acyanosed, palor, Tachypneic, with noisy breathing, not jaundiced no organ enlargement and looks pale. He was diagnosed with severe Pneumonia.

Bashir, a six months old male infant whose illness started three days ago with cough productive of yellowish nasal discharge. At the same time baby became extremely hot but no convulsion. Mother noticed oral rash with refusal to feed and difficulty in sleeping at night. He vomits everything ingested. On examination, a six months old baby looking very ill, febrile (38.0o C), unicteric, acyanosed, palor, Tachypneic, with noisy breathing, not jaundiced no organ enlargement and looks pale. He was diagnosed with severe Pneumonia. CLINICAL COURSE Patient remained clinically ill despite initial resuscitative and supportive measures. Oxygen saturation remained significantly low, indicating sever respiratory compromise. Approximately 12 hours after admission, the patient’s condition deteriorated further in the early hours of the following morning. Before intervention could be instituted, the patient was found unresponsive.

With adequate antibiotics, oxygen therapy, and supportive care, Bashir will recover well. However, delayed treatment or complications like respiratory failure, sepsis, or pleural effusion increase morbidity and mortality, especially at his age and those with weakened immunity. Management includes urgent hospitalization, oxygen therapy, intravenous antibiotics, fluids, and supportive care. Early recognition and prompt treatment are crucial to improving outcomes and reducing mortality.