Sarah C., 20

Sarah comes from a low socio-economic background, with limited financial resources, poor living conditions, and inadequate access to basic needs such as nutritious food, clean water, and proper housing. Her family relies on low-income or informal work for survival, which affects their ability to afford quality healthcare and education. These economic challenges have contributed to poor nutrition, increased susceptibility to infections, and delayed access to medical care. Sarah presented to the facility with a one-week history of shortness of breath, generalized weakness, frequent urination, painful cough, abdominal pain, diarrhea, and dysuria. Over the past two days, she developed joint pain and high fever, which worsened her condition and prompted her to seek medical attention. She is a type 1 diabetic who has not been on medication for a prolonged period of time. Although she had been admitted previously, she has been relying on herbal remedies after the medication she was given on discharge got over. Her condition deteriorated. On examination and following laboratory investigations, she was diagnosed with severe malaria, urinary tract infection (UTI), diabetic ketoacidosis, and immunosuppressive syndrome (ISS). She was admitted for treatment, further management, and evaluation.

Sarah came to the facility with complains of; shortness of breath, frequency in passing urine, cough associated with a lot of pain, diarrhea, abdominal pain, dysuria for the last one week and later developed joint pain, general body weakness and high fever over two days. Based on examination and laboratory findings she was diagnosed with severe malaria, diabetic ketoacidosis, u.t.i and Immuno suppressive syndrome. Was given insulin,mixtane, i.v N/S, and i.v cef . She improved gradually and stabilized and discharged on a good condition.

Sarah’s prognosis is good with timely and consistent medical treatment, but guarded if her diabetes remains poorly controlled. Diabetic ketoacidosis, malaria, and urinary tract infections are serious conditions, yet they are all highly treatable when addressed promptly with the right interventions. With proper fluid resuscitation, insulin therapy, antimalarial treatment, and antibiotics, Sarah is expected to stabilize and recover from the acute illnesses. However, her long-term outcome will depend heavily on ongoing diabetes management, adherence to medication, nutritional support, and timely health-seeking behavior. Because she comes from a low socioeconomic background and has struggled to maintain her insulin therapy, she remains at high risk of future complications if these challenges are not addressed. With consistent medical follow-up, access to diabetes medication, education on self-management, and improved support systems, Sarah can achieve a stable and healthy life