Ibrahim A., 4

Four-year-old Ibrahim is the only son of his parents, living in a modest single-room mud house in Amshi Village. His father is a subsistence farmer and his mother sells yam from home, earning about 2,000 naira, an income that can barely meet the family's basic needs, let alone hospital bills. Ibrahim was brought to the hospital with severe malaria complicated by anaemia, burning with high fever, severely weak, feeding poorly, and barely active. In dire need of urgent treatment to prevent dangerous complications.

Ibrahim was admitted with severe malaria complicated by anaemia and was promptly started on IV Artesunate to control the malaria infection. He also received IV fluids for hydration, Paracetamol to control fever and discomfort, and appropriate supportive care. Ferrous Sulfate and Folic Acid were administered to support blood formation and recovery from anaemia. Once his condition improved and he could tolerate oral medication, he completed an appropriate Artemisinin-based Combination Therapy (ACT). Ibrahim responded well to treatment. His fever subsided, feeding improved, and he gradually regained his strength and activity. His pallor and weakness also improved with treatment and nutritional support. He was discharged in stable condition with his caregivers advised to complete his medications, maintain adequate nutrition and hydration, and attend follow-up visits to monitor his blood level and overall recovery.

Prognosis His prognosis is favorable following his good response to treatment. Continued follow-up is recommended to monitor his blood level, nutritional status, and overall recovery, as well as to prevent recurrence of malaria. Untreated severe malaria with anaemia in a four-year-old is usually fatal within days, progressing to cerebral malaria, deepening anaemia that starves the organs of oxygen, and eventual heart failure or shock.