Adamu M., 10

Adamu is a primary three pupil from Kukareta village IDP camp who likes playing football. The camp manager and his Guardian described him as a calm and quiet person who always listens to seniors and obeys instructions from teachers and camp officials. He wants to be a professional footballer and sees Messi as a role model. He was referred from the camp clinic on account of complicated malaria with severe dehydration and moderate anemia. He presented at the camp clinic with a 3-day history of fever and vomiting, which prevented him from eating and couldn't attend school. He was treated using conventional protocols and guidelines, but his symptoms persisted. On examination, he was found to be ill-looking with severe dehydration. His temperature is 39 degrees centigrade. There is conjunctival pallor. On presentation, a diagnosis of Severe Malaria and Dehydration was made. The child requires urgent medical care.

Adamu was admitted in our facility where he was managed as a case of severeu malaria. He received his full dosages of IV antimalarial and other medications. He responded well to the treatment evidenced by resolving of presenting symptoms. As his condition improved, he was later placed on oral medications before being discharged home to complete his recovery. Adamu and the samaritan were so grateful to helpster for helping them.

The child requires about 3 liters of intravenous fluid over 48hrs period to correct dehydration. Renal functions will be assessed to know the effect of dehydration on the kidneys. the blood level (packed cell volume) was 19% from the referring center and 700mls of blood will be required to correct anemia. malaria will be treated with intravenous artesunate for 24 hours and a complementary oral ACT for the subsequent 3 days.