Ryan W., 13

Ryan is a 13-year-old orphan living in a Children’s Home. He was brought to the home at age seven after being found living on the streets by City Police. Despite his difficult early life, Ryan is cheerful and friendly, enjoys rugby and music, and dreams of becoming an engineer and successful businessman. The home provides him and other vulnerable children with shelter, food, education, clothing and healthcare but depends entirely on support from well-wishers. Ryan had been well until three days before admission, when he developed chest pain, upper abdominal pain and a persistent cough. His symptoms progressively worsened, and by the day before admission he had become significantly more unwell, prompting Sara, a volunteer at the home, to take him to Rheemah Hospital. Following clinical assessment and relevant investigations, Ryan was diagnosed with typhoid fever, gastritis, bronchopneumonia and peptic ulcer disease. Given the combination and severity of his illnesses, he was admitted and promptly commenced on appropriate treatment and supportive care.

Ryan Wabuke At the hospital, he underwent a thorough clinical evaluation and relevant investigations by the attending medical officer. He was diagnosed with typhoid fever, gastritis, bronchopneumonia (bacterial pneumonia), and peptic ulcer disease (PUD). Appropriate treatment was promptly initiated. He was started on intravenous (IV) Normal Saline 500 mL, IV Dextrose Normal Saline (DNS) 500 mL, IV Ceftriaxone 1 g, and IV Paracetamol 1 g. He was admitted for three (3) days for continued treatment and close monitoring. During his hospital stay, Ryan's condition improved significantly, and he responded well to treatment. He was subsequently discharged in a stable condition on oral Augmentin 625 mg and Brustan tablets, with advice to complete the prescribed medication and attend follow-up as scheduled.

Ryan was diagnosed with typhoid fever, bronchopneumonia, gastritis and peptic ulcer disease after presenting with worsening cough, chest and epigastric pain. The combination of respiratory and gastrointestinal illnesses warranted admission for appropriate medication, supportive care and close monitoring. Untreated, complications may include severe infection, dehydration, gastrointestinal bleeding or worsening pneumonia. With timely treatment and good clinical response, Ryan’s prognosis is favourable, with full recovery expected.