Khadija A., 16

Khadija is a 16 year old girl currently living with her parents in a polygamous setting. She is the 5th child among 9 children. Father is a farmer and mother is house wife, life has not been easy as they struggle so hard to even eat 2 square meals. They have and inherited apartment with 3 rooms and a pit toilet, they make use of water from the well for their daily activities, no access to electricity. Khaddija a 16year old adolescent female presented with the complaints of abdominal pain, headache, fever, and weakness of the body, this has been going on repeatedly for the past 5 days, she feels dizzy and vomits everything. The family have no money to take her to the hospital, they reached out to Albishir hospital for Helpster Charity support for proper evaluation. On presentation at the hospital, she was evaluated and after series of investigations, she was diagnosed with severe malaria requiring urgent medical treatment. On examination, patient looks febrile with temperature of 39.6 degree C, patient is not jaundiced, not anemic. Due to weakness, patient was immediately commenced with intravenous fluids to mitigate loss of fluids.

Khadija a 16year old adolescent female presented with the complaints of headache, fever, and weakness of the body, this has been going on repeatedly for the past 5 days, she feels dizzy and vomits everything. On examination, patient looks febrile with temperature of 39.6o C, patient is not jaundiced, not anemic. Due to weakness, patient was immediately commenced with intravenous fluids to mitigate loss of fluids. Treatment commenced with injection antimalarials, injection antibiotics and other supportive care. Patient did well on treatment given, she became stable after days of admission and was discharged as soon as she was recovered. She is to return after 1 week for follow, family remained grateful for the support given.

Khadija is suffering from severe malaria and peptic ulcer diseases which is a major medical condition that impairs her quality of life. The prognosis of severe malaria with coexisting peptic ulcer disease depends on early diagnosis and prompt treatment. With timely administration of intravenous antimalarials, adequate fluid management, proton pump inhibitors, and control of gastrointestinal bleeding, outcomes are generally favorable. Delayed presentation, severe anemia, hypoglycemia, cerebral involvement, active ulcer bleeding, or shock are associated with poorer prognosis. Children and non-immune patients are at higher risk of complications. With appropriate supportive care and close monitoring, most patients recover fully, though untreated or late-treated cases carry a significant risk of morbidity and mortality.