Michel C., 17

Cherop comes from an extremely poor socio-economic background. Her family lives in a rural area characterized by limited infrastructure, poor housing conditions, and inadequate sanitation. The household depends on irregular and low-income sources of livelihood, mainly subsistence farming and casual labour, which are often unreliable. Due to persistent financial hardship, the family struggles to meet basic needs such as sufficient food, clean water, and education. Because of their limited income, Cherop and her family are unable to afford essential medical care, including hospital fees, laboratory investigations, prescribed medications, and follow-up visits. High transport costs to health facilities further hinder access to healthcare, leading to delays in seeking treatment. Consequently, illnesses are often managed late or inadequately, resulting in worsening health outcomes. The family’s socio-economic challenges have therefore significantly contributed to Cherop’s inability to access timely and appropriate medical attention. Cherop was brought to the facility by her mother with complaints of convulsions, severe headache, persistent cough, vomiting blood, dizziness, weight loss, generalized body weakness, and joint pains that had lasted for one week. Her condition had progressively worsened, leaving her extremely weak, lethargic, and unable to carry out normal daily activities. She appeared pale and exhausted, with episodes of altered consciousness following convulsions. At times, she was unable to eat or sit without support, raising serious concern about her condition and indicating that she was critically ill and in urgent need of medical care. Based on clinical examination and laboratory investigations, Cherop was diagnosed with a convulsive disorder, severe malaria and gastritis. She was subsequently admitted for treatment, close monitoring, and further medical management.

Michel came in the facility accompanied by her mother with complains of; dizziness, severe headache, general body weakness, joint pains, coughing and vomiting blood and convulsion. Based on examination and laboratory investigation, she was diagnosed with Convulsion disorder and severe malaria, was put under treatment and management for some time and recovered and discharged on good condition.

With appropriate treatment and close medical follow-up, Cherop’s condition is expected to improve gradually. The convulsions are likely to reduce in frequency and severity; however, she will require consistent medication and regular monitoring to control the convulsive disorder and prevent recurrent seizures. With effective antimalarial therapy, the symptoms of severe malaria will resolve, and her strength and appetite will progressively improve.