Ryan O., 3

Ryan is a 3-year-old boy and the youngest child of his mother. He has an older stepbrother, and both of their fathers are absent. Their mother is the sole caregiver and supports the family by doing menial jobs. They currently live with the mother's uncle, who earns a living by selling charcoal. Ryan enjoys playing alone, especially molding clay. One Monday, Ryan's mother noticed he had a high fever and was not eating well. She took him to the nearby Dispensary, where he was diagnosed with malaria and given medication. Although he completed the treatment, his condition did not improve. Concerned, the mother took him to another facility where tests showed he no longer had malaria but was evidently very ill. However, due to his continued weakness, he was referred to Siaya County Referral Hospital for further evaluation and care where he was diagnosed and put on management for UTI and pneumonia.

Ryan was brought to the hospital with partially treated malaria. Lab and physical investigations done revealed he had a urinary tract infection and an upper respiratory tract infection. Doctors also queried whether the patient might be having scrotal wall cellulitis. His condition warranted admission. He was treated with IV Artesunate for the malaria and antibiotics for the UTI infections. He responded well to treatment and was discharged on orals. He was also told to go back to the hospital after a few weeks for review by surgical team on the queried scrotal wall cellulitis

The patient was brought to the hospital and is set to make a full recovery. The diagnosis of scrotal cellulitis was questioned and the patient is set to go back to the hospital for a surgical review