Lawan M., 2

Lawan Mohammed is a two-year-old boy with a gentle spirit and a curious nature. He lives with his parents in a small, crowded room in a poor settlement on the outskirts of Birniwa town. His father is a laborer who works on other people's farms for meager wages, earning barely enough to feed his family. His mother is a housewife who cares for Lawan and his two older siblings. They have no savings, no health insurance, and no family support. Lawan is the youngest child. When Lawan developed a high fever, his parents took him to a local drug shop where he was treated with antimalarial medications and paracetamol. Unfortunately, the medications caused drug toxicity including paracetamol overdose leading to acute liver injury, treatment failure, and worsening of his malaria. His condition deteriorated rapidly. In their desperation, they heard about Helpster Charity Foundation and brought Lawan to Adari Medical Clinic on 14th June 2026, begging for help to save their son. After thorough examination and investigation, he was diagnosed with Severe Plasmodium Falciparum Malaria complicated by Paracetamol overdose induced Acute Liver Injury, Hypoglycemia, and Coagulopathy.

Lawan, a two-year-old boy, was brought to Adari Medical Clinic with severe malaria complicated by paracetamol overdose and liver injury. Following clinical evaluation and laboratory confirmation, he was admitted and treated with intravenous artesunate, N-acetylcysteine (the antidote for paracetamol toxicity), liver support, and supportive care. His parents were educated on the dangers of using medications without proper medical supervision and the risks of paracetamol overdose in children. Over five days, Lawan showed gradual improvement his fever resolved, his jaundice improved, his liver function tests normalized, and his paracetamol levels returned to safe range. He was discharged home in stable condition with instructions for follow-up. We thank Helpster Charity Foundation for providing the support that made Lawan's treatment and recovery possible.

Lawan Mohammed, a two-year-old boy, presented with severe malaria complicated by paracetamol overdose and drug-induced acute liver injury. He had high fever (39.5°C), jaundice, hepatomegaly, lethargy, and laboratory evidence of severe malaria (5.2% parasitemia), acute liver injury (ALT 580 U/L, AST 520 U/L, total bilirubin 7.2 mg/dL), coagulopathy (INR 2.1), and elevated paracetamol levels. This is a life-threatening emergency requiring immediate hospitalization and intensive care. The prognosis for severe malaria complicated by paracetamol overdose and drug-induced acute liver injury is guarded and highly critical, carrying a high risk of multi-organ failure and a mortality rate that can exceed 40% unless emergency antimalarial therapy, N-acetylcysteine, and advanced intensive care are initiated immediately. Without treatment, he would have risked hepatic failure, multi-organ failure, and death.