Gianna M., 3

Gianna Moraa is a cheerful 3-year-old girl living at a Children's Home. She enjoys playing with other children and watching cartoons. Gianna was admitted to the home a year ago after losing her only guardian in a road traffic accident. Since then, the children's home has provided her with a safe and loving environment. The home relies entirely on the support of well-wishers to provide food, shelter, healthcare, education, and other essential needs for the children in its care. Three days before admission, Gianna developed a high fever, persistent crying, vomiting after meals, poor appetite, and reduced feeding. She appeared to be in significant discomfort and progressively became weaker. Concerned about her condition, a caregiver from the Children's Home took her to Rheemah Hospital for urgent evaluation. Following clinical assessment, she was diagnosed with Plasmodium falciparum malaria and a bacterial infection. She was admitted for prompt treatment, including appropriate medications, supportive care, and close monitoring.

Three days ago, Gianna Moraa became unwell. She developed a high-grade fever and began crying uncontrollably. She also appeared to be in pain, with frequent grimacing, experienced vomiting after meals (postprandial vomiting), had a poor appetite, and was feeding poorly. Concerned about her condition, Ruth, a volunteer at Jeho Children's Home, brought Gianna to Rheemah Hospital for urgent medical attention. She was examined by the Medical Officer in Charge and diagnosed with Plasmodium falciparum malaria and an unspecified bacterial infection. Gianna was admitted to the hospital for close monitoring and prompt treatment. During her admission, she received intravenous (IV) Artesunate 36 mg for the treatment of malaria, IV Ceftriaxone 775 mg to treat the bacterial infection, IV Paracetamol infusion to reduce fever and relieve pain, IV Ondansetron injection to control vomiting, and IV Dextrose Normal Saline (DNS) 500 mL to maintain hydration and correct fluid loss. She was closely monitored and received supportive nursing care throughout her hospital stay. Gianna responded well to treatment, with gradual improvement in her symptoms. After one day of hospitalization, she was discharged in a stable condition with the following medications to continue at home: Brustan Syrup for pain and fever relief. Augmentin 228 mg Suspension to complete the course of antibiotics. Emitos Syrup to help prevent nausea and vomiting. Lornat Syrup as prescribed by the treating physician. Today, Gianna has made an excellent recovery. She has regained her appetite and energy and is back to her cheerful, playful self, enjoying time with her friends at Jeho Children's Home. Her prognosis is good, and she is expected to continue growing and developing normally with appropriate care and follow-up.

Following a thorough medical evaluation, Gianna was diagnosed with severe malaria and an sepsis. Prompt treatment began by Rheemah Hospital specialized medical officers and Gianna responded well to the prescribed treatment, including antimalarial medication, antibiotics, and supportive care during her hospital admission. If left untreated, child may rapidly develop severe anemia, dehydration, seizures, sepsis, organ failure, or coma. Prompt medical treatment is essential, as the condition can become life-threatening. Her prognosis is good.