Kelly Johnson H., 12

Kelly Hawi is an 11-year-old boy with special needs studying in Grade 6 at St. Anthony Special School, Awasi. Although he is able to communicate well, he has visual impairment that affects his ability to see clearly. Hawi lives at the school under the care of house mothers because his parents, who have no stable source of income, live far away and are unable to adequately support his education and daily needs. He was rescued and enrolled in the special school through the help of well-wishers after his parents were unable to afford specialized education. Hawi was brought to the hospital by the school manager with a two-day history of fever, chills, reduced appetite, and yellowing of the eyes. No medication had been given before presentation. On examination, he appeared weak though there were no signs of dehydration, pallor, or cyanosis. Laboratory investigations confirmed septicemia and also revealed liver injury. He was admitted for treatment and close monitoring. Following completion of inpatient treatment, Hawi showed significant improvement and was discharged on oral medication with referral for further liver assessment and specialized management.

Hawi was admitted with symptoms suggestive of systemic infection, including fever and general body weakness. Upon evaluation, a diagnosis of septicemia was made, and immediate treatment was initiated. The patient was started on intravenous ceftriaxone to control the infection, alongside paracetamol for fever and multivitamins to support recovery. During the hospital stay, more tests were done on him since he presented bloody urine discharge and yellowish eyes as he was closely monitored, and it was found to have liver injury which needed immediate treatment under referral. With the septicemia condition there was steady improvement in clinical condition, with reduction in fever and restoration of strength, the patient was clinically stable, with normalizing vital signs and improved general well-being. The patient was discharged on referral.

Hawi was diagnosed with septicaemia complicated by acute liver injury after presenting with fever, chills, weakness, poor appetite, and yellowing of the eyes. His condition required admission for intravenous antibiotics, supportive treatment, and close monitoring of liver function. Although his response to treatment has been encouraging, continued follow-up and specialized liver assessment will be important to monitor recovery and prevent long-term complications.