Intended for healthcare professionals

Fillers A memorable patient

From cerebral malaria to preventive medicine

BMJ 1999; 319 doi: (Published 03 July 1999) Cite this as: BMJ 1999;319:36
  1. Andy Tembon, works for Save the Children Fund in Rwanda

    It is almost 30 years since my sister died, but the events leading up to her death are still clearly etched in my memory. I was 13 and in my second year in a secondary school in a developing sub-Saharan African country. It was a Christmas holiday and I happily trekked for a whole day carrying my aluminium box, which contained all my belongings, from school to my home village to be with my family and friends during this important season. On my arrival I was met by my mother who told me of my 5 year old sister's sudden illness. She had a high temperature, was restless, perspired profusely, had a darkish red urine, and cried …

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