Amina H., 23

Amina a 23-year-old pregnant woman in her third pregnancy, living with her husband in Amshi in a small two-bedroom mud house with poor living conditions. Her husband is a trader with unstable income, while she sells coconut oil from home. Together, they earn only about 9,800 naira per month. A 23-year-old pregnant woman, gravida 3 para 0 (G3P0+AA), at 8 months gestation, was admitted to Ayaji. She presented with a one-week history of high-grade fever accompanied by chills and rigors, as well as three days of generalized body weakness and persistent headache. She had sought several treatment but her condition did not improve. On examination, she was febrile -Temperature of 39°C, pale, blood pressure was low at 90/60 mmHg. Diagnosis of severe malaria in pregnancy was made.

Amina was admitted with severe malaria in pregnancy and was immediately commenced on appropriate emergency treatment. She received intravenous artesunate according to the recommended dosing schedule, along with supportive care including intravenous fluids, paracetamol for fever and discomfort, and close monitoring of her vital signs, blood glucose, haemoglobin level, and fetal condition. As her condition improved, she was transitioned to an appropriate oral antimalarial combination therapy (ACT) to complete treatment. She was also monitored for complications such as severe anaemia, hypoglycaemia, respiratory distress, and fetal compromise. Amina responded well to treatment, with gradual resolution of fever, weakness, and other symptoms. Her general condition improved, and she was able to eat and carry out normal activities. She was discharged in a stable condition with appropriate medications, antenatal follow-up, and advice on malaria prevention during pregnancy.

The patient has severe malaria in pregnancy at 8 months gestation, a life-threatening infection caused by Plasmodium parasites transmitted by mosquitoes. She presents with high fever, chills, weakness, and headache, along with pallor indicating anemia and low blood pressure suggesting serious systemic involvement. The patient shows signs of anemia and low blood pressure, indicating serious systemic involvement. Immediate hospital treatment with antimalarials and supportive care is essential. With prompt management, the prognosis is good, but delay may lead to complications such as maternal deterioration, preterm labor, or fetal distress.