Hussaini K., 3

Three-year-old Hussaini Kabiru, a twin and the last of 12 children, lives with his parents and siblings in a single-room rented apartment costing ₦60,000 annually. His father sells onions on a small scale, while his mother sews caps. Together, they earn about ₦30,000 monthly, which is barely enough to meet the needs of their large family. They rely on a community borehole for water, and the children attend a local Islamiyya school. Hussaini presented with three days of high-grade fever with chills and three episodes of generalized convulsions, each lasting about two minutes with loss of consciousness. He also had frequent watery diarrhoea, vomiting, poor feeding, and excessive drowsiness. There was no history of trauma, cough, or difficulty breathing. He requires urgent medical care and close monitoring to prevent serious complications.

Hussani, a 3-year-old last born of 12 children, was admitted with high grade fever, 3 episodes of generalized convulsions, and 4 episodes of watery diarrhea. RDT/MP was positive for P. falciparum +++. RBS was 3.2mmol/L and PCV 29%. He was managed with IV Artesunate for 3 days then completed with oral ACT, IV 10% Dextrose for hypoglycemia followed by 5% Dextrose Saline, IV fluids for rehydration, IV Diazepam for seizure control, Zinc 20mg daily, and ORS. Fever resolved by day 2, convulsions did not recur, and diarrhea stopped by day 3. He became active, feeding well, and fully hydrated. Repeat PCV was 32% and RBS normal. He was stable for discharge on oral medication.

With prompt treatment including IV Artesunate, seizure control, IV fluids, and management of hypoglycemia and diarrhea, Hussani is expected to recover fully, regain normal brain function, and continue normal growth and development without long-term effects. Good nutrition, complete immunization, use of bed nets, and sanitation will help prevent future episodes of severe malaria and diarrheal illness. If left untreated, the severe malaria with convulsions and hypoglycemia could lead to permanent brain damage, coma, organ failure, or death, and recurrent dehydration from diarrhea would severely impair his growth.