Lilyann J., 2

Baby Lilyann is a 2-year-old girl from Kipkaech Village who is currently under the care of Sunrise Children’s Home following a domestic violence incident involving her parents, which required her placement in a safe environment. Despite these difficult circumstances, Lilyann is a bright, cheerful and sociable child who attends daycare. She enjoys singing, dancing, playing and interacting with other children. Lilyann recently developed high-grade fever, recurrent non-projectile vomiting, several episodes of non-bloody diarrhoea, poor feeding and eventual refusal to feed. She had completed treatment for a varicella-zoster infection approximately one week earlier. Her symptoms were consistent with acute gastroenteritis, with significant risk of dehydration due to continued vomiting and diarrhoea combined with inadequate fluid intake. She therefore required timely medical assessment, rehydration, treatment and close monitoring to prevent further deterioration and complications.

Baby Lilyann presented with fever, severe vomiting, and frequent diarrhoea. Clinical findings were consistent with dehydration secondary to acute diarrhoeal illness (acute infectious gastroenteritis), with a significant risk of progression to sepsis if left untreated. Urgent inpatient management was indicated, including fluid resuscitation, fluid and electrolyte replacement, antibiotic therapy where clinically indicated, and close monitoring of hydration status, vital signs, and treatment response. She responded well to treatment and was clinically stable at the time of discharge. With timely and appropriate medical intervention, the prognosis is favourable, and full recovery is anticipated.