Maryam A., 22

Maryam is a 22-year-old pregnant woman from Amshi Village who has endured tremendous hardship. To survive, Maryam sells coconuts from her house, earning an average of ₦6,500. This small income is barely enough to provide food and meet her daily needs, leaving her unable to afford medical care when she became seriously ill. Maryam a 22-year-old pregnant woman was brought to the hospital in a critical condition after experiencing several days of high-grade fever, chills, severe weakness, headache, repeated vomiting, and poor appetite. As her illness progressed, she became confused, excessively drowsy, and nearly lost consciousness. On arrival at the hospital, she was evaluated and diagnosed with severe malaria complicated by hypoglycemia (dangerously low blood sugar). She was admitted urgently for emergency care.

Maryama was admitted immediately for emergency management. Initial treatment focused on stabilizing her condition by correcting the dangerously low blood sugar and treating the severe malaria. She received 50% Dextrose intravenously (IV), followed by a continuous infusion of 10% Dextrose to restore and maintain normal blood glucose levels. Her blood sugar was monitored regularly throughout her admission. She was treated with IV Artesunate according to the recommended dosing schedule for severe malaria, followed by a full course of an oral Artemisinin-based Combination Therapy (ACT) after she was able to tolerate oral medications. She also received IV Normal Saline or Ringer's Lactate for hydration, Paracetamol for fever and pain relief, and Ondansetron or Metoclopramide to control nausea and vomiting. Her vital signs, fetal wellbeing, blood glucose levels, and laboratory parameters were closely monitored.

Doctor’s Opinion The patient had severe malaria complicated by hypoglycemia, requiring urgent treatment, hospitalization, and close monitoring. Prompt management was essential to protect both mother and baby Prognosis The prognosis is good with complete treatment, regular antenatal care, medication adherence, and continued monitoring of both mother and baby..