Shadrack A., 17

Shadrack is a 17-year-old Grade Nine student and the third-born in a family of seven children. He lives with his parents, siblings and some extended family members in a temporary home after the family was displaced following a land dispute. Their limited income must cover food, education and other basic needs, leaving little for healthcare. Shadrack enjoys volleyball and watching football and hopes to become a teacher. For nearly four years, he has suffered from a recurrent wound on his leg that repeatedly improves and worsens. Shadrack was brought to the facility by his mother after the wound deteriorated significantly. He was in severe pain and unable to walk normally, having to protect the affected leg with every step. The wound was visibly infected, with pus oozing from the affected area, associated with swelling and significant tenderness. The persistent pain had interfered with his sleep, movement, school attendance and usual activities. He appeared exhausted and distressed from the prolonged illness. Following assessment, the doctor determined that the severity and chronic nature of the infection required hospital admission.

Achapa spent days in the ward being managed with high antibiotics and daily cleaning of the word. Later, he was referred to Inuka Hospital in Kisumu for further re-assessment and management

Shadrack was diagnosed with osteomyelitis after presenting with a longstanding, painful and pus-discharging leg wound that had significantly affected his walking and daily activities. The chronic nature of the infection requires appropriate antibiotics, wound care, pain management and surgical assessment where indicated. Without adequate treatment, osteomyelitis may cause permanent bone damage or recurrent infection. With timely, prolonged treatment and proper follow-up, his prognosis is cautiously favourable, although recovery may take time.