Malaki C., 2

Malaki is a two-year-old boy and the only child of a single mother who is deaf and has difficulty speaking. They live together near a local market center under very challenging conditions. His mother earns a living through occasional laundry work, but her income is inconsistent, and at times they rely on well-wishers for basic needs, including shelter. They stay in a small single room that was offered to them free of charge. Due to these hardships, they sometimes go without food. Despite this, the mother is devoted to her son and hopes to take him to school when he turns three. Malaki was brought to the health facility by a neighbour while convulsing. His mother, unable to communicate clearly, appeared distressed. He was immediately rushed to the observation unit and stabilized. From the neighbour’s account, Malaki had been well until that evening when he developed fever followed by a convulsion lasting about 3–5 minutes, with reduced playfulness and irritability. The neighbour, aware of Helpster Charity in Awasi, sought support for the mother after the child’s admission.

The patient was admitted on 15/04 with symptoms suggestive of systemic infection, including fever and general body weakness. Upon evaluation, a diagnosis of septicemia and acute pharyngitis was made, and immediate treatment was initiated. The patient was started on intravenous ceftriaxone to control the infection, alongside paracetamol for fever and per-rectal to support recovery. During the hospital stay, the patient was closely monitored, and there was steady improvement in clinical condition, with reduction in fever and restoration of strength. By 17/04, the patient was clinically stable, with normalizing vital signs and improved general well-being. The patient was discharged on azithromycin, brufen to complete the course of antibiotics, with advice on adherence to medication and follow-up care. Overall, the recovery was satisfactory with no complications noted

He was promptly admitted and started on intravenous antibiotics, fluids, and close monitoring to control the infection and prevent progression to severe complications such as septic shock or organ failure. Early hospital-based management is critical in improving outcomes in such cases. Inpatient management was necessary to administer parenteral antibiotics, supportive medications, and hydration, as well as to ensure rapid medical response should his condition worsen. With appropriate ward-based care and continuous monitoring, the prognosis was good.