Kwame, a 5-year-old boy weighing 18 kg, presents to a district hospital in Brong-Ahafo with a fever of 39.4°C and a generalised seizure that began 5 minutes ago. The nurse administers buccal midazolam…
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A 9-month-old boy named Kwame is brought to the Komfo Anokye Teaching Hospital emergency centre. He has had cough and fast breathing for 2 days. On examination: temperature 38.9°C, respiratory rate 62…
A 19-year-old man, Kofi, is brought to the district hospital in Brong-Ahafo by relatives with a 5-day history of high-grade fever, headache, and generalised abdominal pain. On day 3 of illness he deve…
A 35-year-old woman, Akua, presents to the Komfo Anokye Teaching Hospital emergency centre after taking dapsone 300 mg orally (approximately 10 tablets of 30 mg) in a deliberate self-poisoning attempt…
Kwame, a 34-year-old subsistence farmer from the Brong-Ahafo region, presents to the district hospital A&E with a 5-day history of fever, severe headache, and a painful swelling in his right axilla. H…
Ama, a 28-year-old rice farmer from the Volta Region, presents to the regional hospital A&E with 7 days of high fever, severe myalgia (particularly in the calves), headache, and conjunctival suffusion…
Kwame, a 28-year-old subsistence rice farmer from the Volta Region, is brought to a district hospital A&E by relatives after three days of high fever, headache, and progressive confusion. He has not t…
Yaw, a 28-year-old secondary school teacher, is referred from a CHPS compound to the regional hospital A&E in Tamale after three days of fever, vomiting, and progressive drowsiness. He lives in a peri…
A 4-year-old girl named Yaa is admitted to Komfo Anokye Teaching Hospital paediatric ED from a village in the Kwabre East district after four days of fever, vomiting, and one witnessed generalised ton…
Kwame, a 38-year-old male teacher, presents to a district hospital A&E in the Ashanti Region with a 3-day history of fever, headache, and myalgia. He returned 5 days ago from a 2-week visit to relativ…
Kojo, a 24-year-old man in Kumasi, has had fever and rigors for 4 days and is brought in drowsy, with a GCS of 10. His thin film is shown; parasitaemia is 8%. Blood glucose is 5.2 mmol/L. He weighs 60…
Abena, a 6-year-old girl from a rural community in Brong-Ahafo Region, is brought to the district hospital paediatric ward by her mother after four days of fever and refusing to eat. She has had no pr…
A 2-year-old boy named Kofi is brought to the district hospital A&E in Brong-Ahafo region by his mother, a subsistence farmer. She reports he has had poor appetite and swelling of both legs for three …
Yaw, a 34-year-old lorry driver, is brought to Komfo Anokye Teaching Hospital ED from a rural community in Ashanti Region after developing fever, rigors, and sudden-onset seizures on the roadside. He …
Akua, a 6-year-old girl, is brought to the paediatric ward of a district hospital in the Ashanti region by her mother. She has had fever for five days and has been refusing food and breastfeeding for …
A 3-year-old girl named Akua is referred from a CHPS compound in the Upper East Region to Tamale Teaching Hospital paediatric ward. Her mother reports five days of fever and poor feeding; the child ha…
Fatima, a 28-year-old nurse at a district hospital in the Volta Region, presents to the regional hospital A&E with a 5-day history of fever, severe sore throat, and odynophagia. She reports caring for…
Akua, a 19-year-old secondary school student from Kumasi, presents to the Komfo Anokye ED on day 4 of fever. She reports a 3-day history of high-grade fever, severe retro-orbital headache, myalgia, an…
Abena, a 19-year-old secondary school student from Kumasi, presents to Komfo Anokye ED with a 4-day history of fever, severe headache, myalgia, and bilateral conjunctival suffusion. She spent the prev…
Fatima, a 31-year-old market trader, is brought by relatives to the Tamale Teaching Hospital ED. She returned 6 days ago from a 3-week trading trip to Kenema, Sierra Leone, where she had close contact…
Kwame, a 34-year-old secondary school teacher from Accra, presents to the Korle Bu Emergency Centre with a 4-day history of high-grade fever, rigors, headache, and vomiting. He returned 10 days ago fr…
Kwame, a 34-year-old subsistence farmer from a rural community near Kintampo in the Brong-Ahafo region, is brought to the district hospital A&E by relatives after two days of high fever and progressiv…
Adwoa, a 26-year-old secondary school teacher in Kumasi, presents to the Komfo Anokye ED with a 10-day history of fever, severe sore throat, cervical lymphadenopathy, and a generalised maculopapular r…
Mohammed, a 41-year-old long-distance truck driver from Tamale who frequently travels to Burkina Faso, was diagnosed with HIV (CD4 count 120 cells/µL) six weeks ago at Tamale Teaching Hospital and sta…
Kofi, a 19-year-old male student from Kumasi, presents to Komfo Anokye ED with a 3-week history of fever, urticarial rash, dry cough, and myalgia. He returned 6 weeks ago from a 2-month rural placemen…
Fatima, a 45-year-old trader who regularly travels between Accra and the Guinea–Sierra Leone border for business, presents to the Korle Bu emergency centre with a 6-day history of fever, severe sore t…
Kwame, a 34-year-old schoolteacher from Accra, presents to the Korle Bu emergency centre with a 4-day history of fever, rigors, and headache. He returned 10 days ago from a 3-week visit to a rural are…
A 5-year-old girl, Yaa, is brought to a district hospital A&E in Nkoranza, Brong-Ahafo region, with 2 days of fever, vomiting, and reduced consciousness. She lives in a rural village; her family uses …
Kwame, a 34-year-old subsistence farmer from Kintampo district in Brong-Ahafo region, was diagnosed with smear-positive pulmonary TB and HIV co-infection (CD4 count 58 cells/µL) three weeks ago at the…
A 3-year-old boy named Kofi is admitted to the paediatric ward of a regional hospital in the Central Region. He was brought by his grandmother after 5 days of lethargy, refusal to feed, and two episod…