Muhammad N., 11

Muhammad is an 11yo male child who is staying with his parents and 7 siblings. There are 10 people living in this family together. Muhammad used to attend a government primary school, but the father found it difficult to settle the fees because his business equipment were all sold out just to treat Muhammad of the SCD. Him and his siblings are out of school. No one is currently working in the family. They live in an apartment having a pit toilet, a borehole and access to electricity. Monthly income is barely 5,000. Muhammad an 11yo male child came with the complaints of headache, back pain, chest pain and pains on upper and lower limbs. Patient is a known sickler. On examination, an 11yo male child in severe pain, ill looking, febrile++, not pale. Patient was diagnosed with Bone Crisis in Sickle cell disease (SCD).

Muhammad has a bone pain crisis secondary to vaso-occlusion in SCD, requiring prompt analgesia, hydration as clinically indicated, assessment for precipitating factors, and monitoring for complications. If left unmanaged, an acute bone crisis can lead to permanent bone tissue death (avascular necrosis), osteomyelitis, growth plate damage that alters normal limb development, or trigger life-threatening systemic acute chest syndrome. Prognosis is generally good with timely treatment and resolution of the precipitating factors. However, recurrent crises may cause chronic pain and skeletal complications, requiring ongoing follow-up and preventive care.