Sudes L., 1

Sudes is a 3month old male child. He is the fourth child of his parent. The parent are living in a village about a hundred ad twenty km from the city of Bauchi. They are struggling to take care of the family because of financial constraints. They are living in a 2 rooms apartment having a pit toilet and a well for for their activities in the house. The parents are not currently having a job. Sudes an 8weeks old male infant presented with the complaint of fever, cough, multiple boils on/off, insomnia. Patient’s illness started about two weeks ago when the mother discovered a boil on the back of the neck, which base extended laterally to the left side of the neck. The boil later suppurated and started discharging a thick, whitish pus. There was also associated rise in body temperature. Two days ago, the baby started coughing and does not sleep well at night, however, he suckles well and has not lost weight. No history of vomiting, watery stools or fitting. On examination, an 8-week old male infant crying, head bent to the right exposing two wounds covered by white dead tissues and a bigger wound has been packed with bandage soaked with pus. There is an extensive indurated base around the wounds engaging the back of the neck and left neck. The body was warm with temperature of 37.8o C. The family stay at far distance of 120km before coming to the hospital, they lack the money to receive medical care, Helpster volunteer reached out to them so that they can benefit from Helpster charity. On presentation at Albishir hospital, the child was evaluated and diagnose with severe malaria and cellulitis, causing infection and acute illness to the child which can result to anemia and death.

Sudes an 8week male infant presented with the complaints of fever, cough, multiple boils on/off, insomnia Patient’s illness started about two weeks ago when the mother discovered a boil on the back of the neck, which base extended laterally to the left side of the neck. The boil later suppurated and started discharging a thick, whitish pus. There was also associated rise in body temperature. Two days ago, the baby started coughing and does not sleep well at night, however, he suckles well and has not lost weight. No history of vomiting, watery stools or fitting. On examination, an 8week old male infant crying, head bent to the right exposing two wounds covered by white dead tissues and a bigger wound has been packed with bandage soaked with pus. There is an extensive indurated base around the wounds engaging the back of the neck and left neck. The body was warm with temperature of 37.8o C, no jaundice, cyanosis or palor. He was diagnosed with severe malaria and cellulitis. Treatment commenced with injection antimalarials, injection anti biotics, some pain reliefs and other supportive care. Patient did well, wound got treated adequately and fever is gone with temperature being normalized. Patient is to return for follow up after a period of 1 week.

For Sudes an 8-week-old male patient is that the condition is serious because of the infection and anemia and infection, it can result to severe illness and possibly death. The infant is vulnerable due to his young age and immature immune system. Close monitoring is required to watch for fever, breathing difficulty, poor feeding, or worsening symptoms. Early treatment with antimalarials, antibiotics, fluids, and supportive care improves outcomes. With timely intervention, good nursing care, and follow-up, the baby has a fair to good prognosis and is expected to recover well without long-term complications.