- Request received08/06/2026
- Checked & confirmed20/07/2026
- FundraisingOngoing20/07/2026
- Treatment provided
- Invoice paid
- Case closed
Why is treatment sometimes done earlier than the payment?
When a case is urgent and vital, hospitals often proceed with delivering medical care right away to save a life, even before the finalisation of admission procedures. Usually, when this happens, hospitals put the bill on our credit until the funds are transferred to their accounts. That’s why the chronology can sometimes be in disorder.
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Mary J., 5
FundraisingUrgentBlood
27
$215
About blood
Sepsis is a life-threatening condition that occurs when the body's response to an infection causes widespread inflammation, leading to organ dysfunction if not treated promptly. A popliteal cyst (Baker's cyst) is a fluid-filled swelling that forms behind the knee, often causing pain, stiffness, and difficulty bending the joint. Sickle cell disease is an inherited blood disorder in which abnormal red blood cells become sickle-shaped, leading to anaemia, painful crises, recurrent infections, and damage to organs due to reduced blood flow.
Africa Inuka Hospital Ltd – Milimani (Kisumu)
P.O. BOX 233-40605 Sidindi, Milimani & CBD, Odera Street in Kisumu
Background
Mary Juliet is a 5-year-old girl living with both her parents and attending PP1. She enjoys singing, going to church, and eating chapati with beans. Her mother is a peasant farmer earning about KSh 1,500 per month, which barely meets the family's daily needs. Mary was brought to the health facility after developing painful swelling behind her right knee that had persisted for one week. She also experienced recurrent episodes of fever, severe joint pain, and increasing difficulty walking because of the pain. Following clinical assessment, laboratory investigations confirmed sickle cell disease, while an ultrasound revealed a right popliteal (knee) cyst. She was also diagnosed with sepsis. The surgical team reviewed the cyst and determined that immediate surgery was not required. Mary was started on appropriate treatment, and her parents received counselling on sickle cell disease, including how to recognize and manage painful crises and the importance of regular follow-up to prevent complications.
Medical history
The patient presented to the facility with one week history of swelling on the right knee. She had several fever episodes . The lab tests and regional ultrasound were requested. The ultrasound showed a right knee popliteal cyst. The tests showed that sickle cell was positive. The surgeon reviewed the patient for possible surgery to remove the cyst but it was not urgent. The patient was diagnosed with Sickle cell and right knee cyst,sepsis. The patient was put on medication and parent advised on how to manage the connition incase she goes into crisis. The mother was also advised to keep the child warm and hydrated. Currently there is no complains from the patient. They were advised on where to go for clinics.
Prognosis
Mary has been diagnosed with sickle cell disease, sepsis, and a right popliteal cyst. She has been started on appropriate antibiotics, pain management, hydration, and supportive care, while the knee cyst is being managed conservatively as surgery is not urgently required. With prompt treatment, the infection is expected to resolve, and her prognosis is favourable. However, sickle cell disease is a lifelong condition requiring regular follow-up, preventive care, and adherence to treatment to reduce painful crises, infections, and long-term complications.
