Nasiru M., 7

Nasiru is a 7-year-old boy living with his parents in a modest mud-brick home in Bade community. His parents are hardworking but face significant financial challenges, making it difficult to meet basic needs. He was admitted on January 30, 2026, with a one-week history of high-grade fever with chills and rigors, abdominal pain, and occasional vomiting. He had previously been treated with antimalarials and antibiotics without full recovery. On examination, his temperature was 38.4°C and blood pressure was 90/60 mmHg. Laboratory tests showed malaria parasites (MP ++) and a packed cell volume of 38%, with a Widal test also performed. He was diagnosed with severe malaria and acute abdomen.

Treatment and Recovery of a 7-Year-Old Boy Diagnosed with Severe Malaria The patient, a 7-year-old boy, was admitted with a diagnosis of severe malaria, presenting with high-grade fever, chills, repeated vomiting, generalized weakness, and reduced appetite. Clinical examination and laboratory investigations confirmed Plasmodium falciparum infection complicated by severe systemic symptoms. He was promptly admitted and commenced on emergency treatment. Management included: IV Artesunate for rapid reduction of parasitemia IV fluids (Normal Saline) for rehydration and maintenance of circulation Paracetamol for fever control Antiemetics (Ondansetron) to control vomiting IV Ceftriaxone as supportive antibiotic coverage due to risk of secondary infection Transition to oral Artemether-Lumefantrine (AL) once clinical improvement was observed Zinc and multivitamins to support recovery and immune function The child responded well to treatment within 48–72 hours, with a gradual reduction in fever, improved appetite, and increased activity level. Laboratory parameters also showed significant improvement. After close monitoring and stabilization, he was declared clinically stable and discharged home in good condition. His parents were counseled on malaria prevention, including the use of insecticide-treated mosquito nets and environmental sanitation.

Nasiru, presented with a one-week (1/52) history of high-grade pyrexia accompanied by chills and rigors. The systemic involvement is further evidenced by significant gastrointestinal distress, including acute abdominal pain and persistent vomiting. ​Diagnosis Following clinical evaluation and diagnostic investigation, the patient has been diagnosed with: ​Severe Malaria with Acute Abdomen ​Prognosis ​The prognosis for "Severe Malaria with Acute Abdomen" is guarded and highly dependent on the speed of intervention.