Notable Lesotho Cases

• Abandoned baby found in pit latrine and brought in by police and a villager. Not just in the latrine, but in the pit. How sad is that? The baby was covered in poo and grossness.  And the admission record states the baby had "toilet" aspiration suctioned from mouth and nose. Baby is fine and so adorable after a few days in the hospital.
• 12 year old mother
• Child with respiratory distress, found that she had pleural effusion because of a mediastinal mass. O_o  Expired day before she was supposed to go to S. Africa. 
• Child came in with prolonged fever, cough, and difficulty breathing. Found to have large masses in lungs - turns out to be bilateral hydatid cysts that essentially took up the space of both lungs.
• Young adult came in with Kaposi's Sarcoma all over his body. He had been diagnosed previously with HIV, but had never gotten follow up or treatment.
• Child in nursery for 4 days, then xray looked like the child's organ's were switched right to left. Found out radiology had film flipped. But child also found to have tracheo-esophageal fistula. 
• Child with severe kwashiorkor (edematous, protein-deficient malnutrition) because mother had been feeding the child sugar water and porridge for two months. 
• Pre-teen was sexually assaulted and developed extensive disease in private area that required extensive surgery and placement of colostomy while that area healed. 
• Teenage boy defaulted from HIV meds for 1 year. Mother was told he had complained of abdominal pain, vomiting, and then next day was comatose (mother not around patient). Has been comatose and febrile for more than 2 weeks despite antibiotics and TB medicines. Defervesced with ARVs. 
• Toddler came in on TB and HIV meds, found to have fever, generalized lymphadenopathy, supraclavicular lymph node, severe hepatosplenomegaly, purulent/swollen tonsils, febrile and coughing. 
• Baby came in 16% below birth weight and with DIC/sepsis, neutropenia, thrombocytopenia, anemia, hyponatremia, hypotension, hypothermia, hypoglycemia (so many hypo's...)
• Baby came in with ASD, pulmonary valve atresia, tricuspid stenosis, MAPCAS
• Soooooooo many cases of Fanconi anemia and aplastic anemia. 
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