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The predisposition of children with severe malaria to urinary tract infection was investigated in a group of 112 clinically diagnosed and para sitologically confirmed severe malaria patients (test) and in another subset of 114 apparently physically healthy non-malaria infected subjects (control). Standard bacteriological and parasitological procedures were used in the diagnosis of urinary tract infection and confirmation of malaria infection respectively. Plasmodium falciparum was the only aetiologic agent of malaria encounted in the study. There was a statistically significant difference (P = 0.008) in the prevalence of urinary tract infection in severe malaria infected patients (30.4%) and control (2.6%) (P