Habiba A., 19

Habiba lives in a monogamous family in Amshi village with three siblings. Her father is a farmer earning approximately 2,000 Naira, and her mother washes people’s clothes, generating a combined household income of only 7,000 Naira. With such limited resources and a large family to support, they were unable to settle the medical bills required for her specialized treatment and hospital stay. Habiba waa admitted to Ayaji hospital and presented with a week-long history of severe illness, high-grade fever, headache, and chills Lasting for one week, dizziness present for three days. ​Abdominal Issues: She reported lower abdominal pain (LAP) and vaginal (PV) discharge. ​Upon examination, the medical team found she was pale and had a blood pressure of 90/60 mmHg. Laboratory and diagnostic tests (including a pelvic scan and HVS MCS) revealed a dual health crisis: ​Severe Malaria: Confirmed by a high parasite density (MP +++). ​Chronic PID: She was also suffering from Chronic Pelvic Inflammatory Disease, which explained the abdominal pain and discharge. She was diagnosed with severe with chronic PID

The patient diagnosed with severe malaria complicated by chronic pelvic inflammatory disease (PID) was promptly managed with intravenous artesunate, followed by a full course of oral artemisinin-based combination therapy (ACT) after stabilization. She also received intravenous fluids, paracetamol, and close monitoring of vital signs. For chronic PID, she was treated with intravenous ceftriaxone and metronidazole, later switched to oral antibiotics to complete the course. Analgesics were given for pain relief. She responded well to treatment with resolution of fever, significant reduction in abdominal pain, and improvement in general condition. She was discharged in stable condition with follow-up instructions and counseling on medication adherence and reproductive health care.

Habiba presented with severe malaria complicated by chronic pelvic inflammatory disease (PID), a combination that significantly increases clinical risk. She is at risk of complications such as severe anemia, sepsis, pelvic abscess, infertility, and multi-organ involvement. Immediate management with intravenous antimalarial therapy, broad-spectrum antibiotics, and close monitoring is strongly indicated to control both infections and prevent deterioration. The prognosis is guarded, as recovery depends on the patient’s response to treatment and the extent of complications already present. With prompt and adequate medical care, the patient may recover from the acute malaria episode; however, chronic PID may have long-term consequences.