Tania V., 6

Tania Valencia is a cheerful 6-year-old girl living at New Jeho Children's Home in Nairobi. She enjoys playing with her friends and watching cartoons. She was admitted to the home a year ago after her sole caregiver lost their job and could no longer provide for her. Since then, the children's home, which depends entirely on donations from well-wishers, has provided her with shelter, education, healthcare, and other basic needs. The home was introduced to Helpster Charity through Rheemah Medical Practitioners and later connected through Helpster volunteer Vincent. Three days before admission, a caregiver at the children's home noticed that Tania had developed repeated vomiting, diarrhoea, and increasing body weakness. Despite initial treatment at a nearby health facility, her condition worsened, prompting referral for further care. After clinical assessment and laboratory investigations, she was diagnosed with rotaviral enteritis and acute gastritis. She was admitted for rehydration, close monitoring, and appropriate medical treatment.

Tania had been in good health until three days before admission, when her mother noticed that she had developed vomiting, diarrhea, and general body weakness. As her condition continued to deteriorate despite receiving initial treatment at a local health facility, her mother brought her to the hospital for further evaluation and specialized medical care. Following a thorough clinical examination and the necessary laboratory investigations, Tania was diagnosed with Rotaviral Enteritis and Acute Gastritis. She was admitted to the hospital for close observation, rehydration, and medical management. During her admission, Tania received intravenous fluid therapy consisting of 5% Dextrose in Normal Saline (DNS) 500 mL, Ringer's Lactate 300 mL, and Normal Saline 500 mL to correct dehydration and restore electrolyte balance. She was also treated with intravenous Ondansetron 2 mg to control vomiting, intravenous Metronidazole 75 mg, and intravenous Ceftriaxone 1 g as part of her prescribed treatment regimen. Tania responded well to treatment, with gradual improvement in her symptoms and overall condition. She was discharged in a stable condition with oral medications, including Zincat once daily, Enterogermina 5 mL, and Oral Rehydration Solution (ORS) sachets. Her caregiver was advised to ensure adequate fluid intake, maintain proper nutrition and hygiene, administer the prescribed medications as directed, and attend follow-up appointments to support her complete recovery.

The prognosis for Tania is good, provided she continues to receive appropriate medical follow-up, maintains good hygiene, has access to safe drinking water and adequate nutrition, and receives prompt treatment should similar symptoms recur. Continued family support and regular healthcare monitoring will help promote her full recovery and reduce the risk of future gastrointestinal infections. Rotaviral enteritis with acute gastritis causes vomiting, diarrhea, and dehydration in the child. Early treatment promotes recovery and prevents complications. If left untreated, it can lead to severe dehydration, electrolyte imbalance, shock, and may become life-threatening.