Antony Orege A., 4

Antony is the third-born in a family of four children. He lives with his grandparents and parents, both of whom require considerable support due to illness. His grandmother is the family's main caregiver and earns a small income by selling sweets, despite also experiencing health challenges. The family's circumstances place significant caregiving and financial responsibilities on her. Antony is a cheerful PP1 pupil who enjoys playing football with his friends. Antony had been well until one evening when he developed abdominal pain, diarrhoea, and a nosebleed. Concerned, his grandmother sought assistance from a Community Health Promoter, who referred them to the hospital. Antony was promptly assessed, and laboratory investigations were conducted. He was diagnosed with malaria and gastroenteritis with epistaxis (nosebleeding) and commenced on appropriate treatment.

Antony came to the hospital with history of nosebleeding stomachache and hotness of the body,after laboratory results diagnosis of epistaxis and malaria was made.He was then treated under outpatient with oral medication since he was abit stable and could retain oral drugs at home.He was given anti malarial,antibiotic and hematinics for his treatment.Currently he has recovered well and a phone call follow up showed he is of good health and can play with his mates.

Antony was diagnosed with severe malaria, gastroenteritis with moderate dehydration, and epistaxis. The combination can cause significant weakness, fluid and electrolyte loss and, if untreated, serious complications. He required prompt antimalarial treatment, rehydration, management of the nosebleed, and close monitoring. With appropriate treatment, adequate fluids, adherence to prescribed medication, and timely follow-up, his prognosis is favourable.