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A Case Study on Lassa Fever

   

Added on  2022-04-12

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A CASE STUDY ON A PATIENT WITH LASSA FEVER
By
ALI AMINA ENEGBUMA
20/PNAU/051
PUBLIC HEALTH PROGRAMME
SCHOOL OF BASIC MEDICAL SCIENCES
OBAFEMI AWOLOWO UNIVERSITY
ILE-IFE, OSUN STATE.
MAY 2021

A CASE STUDY ON A PATIENT WITH LASSA FEVER
By
ALI AMINA ENEGBUMA
20/PNAU/051
PUBLIC HEALTH PROGRAMME
SCHOOL OF BASIC MEDICAL SCIENCES
OBAFEMI AWOLOWO UNIVERSITY ILE-
IFE, OSUN STATE.
IN PARTIAL FULFILMENT OF THE REQUIREMENT OF
NURSING AND MIDWIFERY COUNCIL OF NIGERIA
FOR THE AWARD OF DIPLOMA IN PUBLIC
HEALTH NURSING.

CERTIFICATION
I certify that this care study was carried out by ALI AMINA ENEGBUMA (20/PNAU/051)
of the department of Nursing Science, Obafemi Awolowo University, Ile-Ife, Osun State,
Nigeria under my supervision.
____________________________ __________________
Dr E. O OLAGUNJU Date
Supervisor
__________________________________ ___________________
Prof. (Mrs) Irinoye O.O. Date
Head,
Department of Nursing Science,
Obafemi Awolowo University, Ile-Ife

DEDICATION
This research study is dedicated to Almighty God, the author and finisher of my faith and to my
lovely husband Mr. Cosmas Asimegbe, my beloved children Donald and Diane Asimegbe
ACKNOWLEDGMENT
My sincere gratitude to God Almighty, whose presence has never been far from me through my
B.Sc. programme and by whose grace this project has become possible.
I am grateful to my project supervisor, Dr (Mrs) O.E Olagunju under whose meticulous and
detailed supervision this research was conducted. I would also like to acknowledge my Head of
Department, Professor Omolola Irinoye and other lecturers who have imparted greatly both in this
project and to my life.
My deepest gratitude goes to my husband, Mr Asimegbe, you are a wonderful man. Thank you
for the support. My gratitude also goes to my siblings – Sophie and Udomo for support and
encouragement in making this programme a success. And to my lovely kids – Donald and Diane,
who filled my world with joy and challenged me to be the best.
To everyone who contributed to this success, my colleagues at work,friends and those who has
supported me in every way, i want to say a huge thank you.

TABLE OF CONTENTS
Title page i
Certification ii
Dedication iii
Acknowledgement iv
Table of Contents v
CHAPTER ONE
1.1 Introduction 7
1.2 Case study background 7
1.3 Objectives of the study 12
CHAPTER TWO
2.0 Literature Review 13
2.1 Definition 13
2.2 Causating Factor 14
2.3 Mode of Transmission 14
2.4 Incubation Period 14
2.5 Clinical Manifestation 15
2.6 Management 16
2.7 Public Health Intervention 23
2.8 Complications 24
CHAPTER THREE
3.1 Home visist 25
CHAPTER FOUR
4.1 Summary 34
4.2 Conclusion 34

4.3 Recommendation 35
4.4 Bibliography 37

CHAPTER ONE
1.1 INTRODUCTION
This is a case study on Master O.A a 12 year old boy and a resident of Adeyemi Adegbite Street,
Egbeda, Lagos State. He presented at Children Emergency on the 28th of October 2020 on account
of fever 38.5⁰, general weakness, and malaise, vomiting and diarrhea, both with blood, difficulty
in swallowing, bleeding in the gums, nose, eyes, difficulty breathing.
DIAGNOSIS
Patient was diagnosed with Lassa Fever
FRIST CONTACT
Patient was first seen in children emergency department on the 28th of October 2020 at 5:44pm
after being referred from Mobonate Hospital Dopemu Agege to Lagos university teaching
hospital Idi-Araba Lagos. He was later transferred to ward D2 isolation bay.
1.2 CASE STUDY BACKGROUND CLIENTS
PERSONAL DATA INFORMATION
Name: Master O.A.
Age: 12 days old
Sex: Male
Occupation: Nil
Religion: Muslim

Ethnic: Yoruba
Residential Home Address: Adeyemi Adegbite Street Egbeda lagos.
Date of Admission: 28th of October 2020
Diagnosis: Lassa Fever
Ward: Ward D2 (isolation bay)
Date of Discharge: 27th November 2020.
Birth History: He was born through spontaneous vagina delivery. Mother reported that he cried
immediately after birth, Birth Weight of 3.1 kilogramme was recorded. He was put to bresst
immediately after being cleaned up.
Immunization History: Patient has recieved all the childhood vaccines at its appropriate time
and days.
Social History: Master O.A. still a teenager who enjoys sport and mingles freely with people.
Family History: Patient is a second child in a monogamous family.
Past Medical History: There is no previous history of hospitalization, blood transfusion and
surgery. But patient was treated for malaria 2weeks ago with over the counter drugs (coartem 2
tablet b/d) for 3days.
Present Health History
Master O.A. is a 10 years old, dark in complexion with scanty hairs, he presented at children
emergency centre on the 28/10/20 at 5.44pm on account of fever 38.5⁰, general weakness, and
malaise,vomiting and diarrhea, both with blood ,difficulty in swallowing for 3days. Also bleeding
in the gums, nose, eyes, which was observed. Patient was referred from Mobonate Hospital

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