Marion S., 6

Shamim is a six-year-old nursery pupil from Othoo and the fourth of five children. She lives with her single mother, siblings and several orphaned relatives. During school holidays, some children stay with their grandmother to ease the burden on her mother, who depends on irregular casual jobs around Awasi Market to support the household and keep the children in school. When well, Shamim is cheerful, enjoys playing with other children, watching cartoons on her mother’s phone and playing with her favourite doll. Shamim had been well until she returned from school one afternoon with sudden high fever and increasing body weakness. As her condition worsened, she became unusually tired, less active and visibly ill. Her mother rushed her to the health facility, where clinical assessment and laboratory investigations were conducted. She was diagnosed with severe malaria and moderate anaemia, requiring urgent admission. Her mother initially hesitated because she could not afford the treatment costs. After a Helpster volunteer explained that the organization would support her care, she consented, and Shamim was admitted to the paediatric ward for treatment and close monitoring.

Marion, was admitted with high-grade fever, convulsions, weakness, and signs of severe malaria with anaemia. On admission, the child appeared weak, febrile, and clinically unstable, necessitating urgent intervention. Immediate treatment was initiated with injectable to treat severe malaria injection was administered for rapid control, followed by phenobarbital injection for sustained seizure management. The child was started on intravenous fluids to correct dehydration and maintain electrolyte balance. Additionally, ceftriaxone injection was administered in the course of admission, she showed gradual improvement. The fever subsided, convulsions were controlled, and the child became more active with improved feeding and general condition. Clinical signs of anaemia stabilized with improved and was clinically stable for discharge. The child was discharged on orals.

Shamims condition was critical due to severe malaria complicated by severe anaemia, both of which significantly increased the risk of poor outcomes. Prompt emergency care, including antimalarial treatment, supportive therapy was essential. With timely and appropriate management, her condition can improve; however, close monitoring is necessary to manage complications and support full recovery. Her prognosis was good.