Zainab M., 6

She attends T and P Nursery and Primary school, She is in nursery 3 and likes reading. The mum sells traditional food call Massa and her father is a transporter. Zainab is the last child's of her parents. She lives with them. She wants to be a nurse when she grow up so that she can take care if sick people. The family income is 30,000 and barely enough to support the family. Zainab Muktar is a 6-year-old girl presenting with a one-month history of illness characterized by fever, cough, respiratory distress, and bilateral lower leg swelling. Clinical examinations and elevated blood urea and creatinine levels reveal significant renal impairment, while an abdominal ultrasound strongly suggests advanced Stage III–IV bilateral renal parenchymal disease. The primary diagnosis is Acute kidney injury potentially stemming from post-streptococcal glomerulonephritis. Due to the compromised kidneys, the patient has developed severe fluid overload, which has ultimately complicated her condition into acute congestive cardiac failure.

Zainab Muktar is a 6-year-old girl presenting with respiratory distress, dehydration, and shin-level pitting edema stemming from severe renal impairment and suspected post-streptococcal glomerulonephritis. Diagnostic evaluations confirm advanced Stage III–IV bilateral renal parenchymal disease alongside significantly elevated blood urea and creatinine levels. The primary consequence of this acute kidney injury is severe fluid overload, which has triggered the life-threatening complication of congestive cardiac failure. The prognosis for advanced Stage III–IV bilateral renal parenchymal disease complicated by acute heart failure is highly guarded and depends entirely on immediate, aggressive critical care. If the underlying cause is an acute, reversible injury like post-streptococcal glomerulonephritis, intensive treatment with dialysis and fluid management may allow for renal recovery, though there remains a high risk of progression to chronic kidney disease.