Naphtali E., 2

Naphtali is a 2-year-old boy living with his widowed mother and siblings in a small community. Since the loss of his father, the family has struggled to meet basic needs, with his mother relying on petty trading to support the household. They live in a single-room apartment and face ongoing financial hardship. He presented with high-grade continuous fever, along with cough, nasal congestion, weakness, and reduced activity. There was also a history of similar illness in his older sister. On examination, he appeared acutely ill and febrile, with notable findings including Koplik spots. He was diagnosed with severe malaria and requires prompt medical treatment. Due to financial constraints, the family sought help at the hospital and were referred for support through Helpster Charity.

Naphtali is a 2yo male child presented with complaints of high grade fever, continuous with no relieving factors. Cough started a day ago as well as associated with nasal congestion. There is associated generalized weakness and reduced activity. There is history of similar symptoms in older sister who also has measles. On examination, a male toddler, acutely ill looking, in no obvious distress, febrile (38.3o C) not pale, anicteric, not dehydrated, tonsils not enlarged. Koplik spots seen. He was diagnosed with severe malaria. Treatment commenced with injection antimalarials, injection antibiotics and other supportive care. Fever stopped after hospital stay, patient was discharged with some medications to continue at home. He is to return for follow up after 1 week. The mother rejoiced saying thank you to Helpster Charity and the entire team for supporting their child.

The child was managed for severe malaria with appropriate medications and supportive care, with good clinical response observed during admission. He is currently stable, afebrile, and has been discharged on medications with plans for follow-up. With adherence to medications and scheduled review, full recovery is expected. The overall prognosis is favorable.