Maryam I., 18

Maryam is an 18-year-old girl living with her parents in Gashua. She helps to provide most of the daily needs for her family. She was admitted on February 7, 2026, with a one-week history of high-grade fever, chills, rigors, headache, dizziness, and occasional vomiting, as well as three days of epigastric pain. Her temperature on presentation was 40.6°C. On examination, she was febrile but conscious and alert, with a clear respiratory system and normal heart sounds. Laboratory tests showed malaria parasites (MP ++) and a packed cell volume of 36%, with a Widal test also performed. She was diagnosed with severe malaria and peptic ulcer disease.

Maryam was admitted with a diagnosis of severe malaria, a life-threatening condition requiring urgent hospital management. She was immediately placed on close monitoring, with vital signs regularly checked and fluid balance maintained. Treatment: Maryam was started on intravenous Artesunate, the recommended first-line treatment for severe malaria, given at 0, 12, and 24 hours, then daily until she could tolerate oral medication. Once her condition improved, she was switched to oral Artemether-Lumefantrine to complete the full course of treatment. Supportive care included intravenous fluids to correct dehydration, and Paracetamol to control fever. Due to signs of anemia, she was given hematinics, including iron and folic acid supplements. Where necessary, blood transfusion was considered to manage severe anemia. Antiemetics were also administered to control vomiting and ensure tolerance of oral drugs. Recovery: With prompt and appropriate treatment, Maryam showed gradual improvement. Her fever subsided, strength returned, and appetite improved. Laboratory parameters normalized, and she was closely monitored for complications before discharge. On discharge, she was advised to complete her medications, maintain good nutrition, stay hydrated, and attend follow-up visits. Preventive measures such as sleeping under insecticide-treated nets and maintaining a clean environment were emphasized to reduce the risk of reinfection. She was grateful to Helpster Charity for the free treatment.

Maryam was presented to Ayaji hospital with "high-grade" fever, chills, rigors (shivering), headache, dizziness, and epigastric (upper abdominal) pain. These are classic signs of a significant malaria infection. ​Vital Signs: On admission, the patient had a dangerously high temperature of 40.6°C (hyperpyrexia), a fast heart rate (100 bpm), and an increased respiratory rate (24 c/m). ​Laboratory Evidence: ​MP ++: This indicates a moderate to high presence of Malaria Parasites in the blood. ​PCV 36%: This represents the Packed Cell Volume (red blood cell level), which is within a relatively normal range, suggesting that while the infection is severe, it had not yet caused life-threatening anemia which requires and urgent intervention.