Shipprah S., 16

Shipprah is a 16yo lady, she has 5 siblings and they're 8 in the household, the father is a laborer, the mother has no job, they stay in an apartment with 3 rooms having a pit toilet, using a well water and there is no access to electricity. Approximately making 11,000 naira in a month. Three days ago Shipprah complained of mid abdominal pain and and also pain in the lumbosacral area which became severe even after taking diclofenac. This necessitated coming to the hospital. On examination, a 16yo lady, lethargic, very pale looking, afebrile, icteric, acyanosed. Tachypneic with Tachycardia and tender hepatomegaly. Patient was evaluated and diagnosed with Haemolytic crisis in Sickle cell disease (SCD).

Shipprah was diagnosed with Haemolytic crisis in SCD, She was lethergic, in severe pains, and pale and requires prompt management with identification of triggers, correction of anaemia, supportive care, and close monitoring to prevent life-threatening complications and organ damage. The critical complications of a hemolytic crisis in SCD include life-threatening anemic heart failure, acute kidney injury from free hemoglobin blocking renal tubules, and hypovolemic shock caused by acute splenic or hepatic sequestration. Prognosis is generally favorable with early treatment, but depends on severity, precipitating cause, response to therapy, and development of complications or recurrent crises.