Rosah Atieno O., 17

Rosah is the second-born child in a family of four siblings. Although both of her parents are alive, they are separated. She currently lives with her father and elder sibling, while her mother relocated with the younger children to an unknown location. Rosah is a Form Three student who enjoys reading, making new friends, and spending time with her peers. She is cheerful, sociable, and dreams of becoming a teacher in the future. Her father works as a fisherman and spends most of his time at the lakeside, only returning home on weekends with the little money he has made. As a result, Rosah and her sibling often manage many household responsibilities in his absence. Rosah had been in good health until 22nd May when she returned home from school complaining of severe abdominal pain and excessive sweating. Her elder sister attempted to contact their father, but was unable to reach him. The following day, Rosah's condition worsened as she developed multiple episodes of diarrhea, vomiting, weakness, and loss of appetite. Concerned by her deteriorating health, her sister took her to the hospital while awaiting their father's return. Upon arrival, Rosah was promptly assessed and investigated. Following clinical evaluation and laboratory tests, she was diagnosed with gastroenteritis and severe malaria and was immediately started on treatment.

Rosah came to the facility with history of diarrhea, headache ,vomiting and profuse sweating. She was attended to by the clinicians and diagnoses of malaria and G.E was made. Rosah was immediately commenced on rehydration therapy to replace the water and electrolytes lost by being given IV fluids,she was also given iv flagyl ,iv artesunate ,iv paracetamol stat and was discharged on oral antimalarial antibiotics and health education given too.Rosah had a fair prognosis and upon follow up it was confirmed that she has fully recovered and gone back to school.

Malaria and gastroenteritis have distinct prognoses. Malaria requires urgent treatment to prevent severe, potentially fatal complications, though uncomplicated cases recover quickly with medication. Gastroenteritis usually resolves on its own within a week, but untreated severe diarrhea can cause life-threatening dehydration. If left unmanaged or if the causative agent is a severe bacteria, the main risk is severe dehydration. Untreated individuals may also shed bacteria in their stool for over two weeks, and relapses can occur in approximately 10% of untreated cases Rosah's prognosis is good as the treatment was begun promptly