Adegoke Oluwakemi T^1,, Bamigboye-Taiwo Olukemi T¹, Afeniforo Olufunke G¹, Okeniyi John A¹, Omotoye Babatunde S², Olorunmoteni Oluwatosin E¹, Adegoke Adedokun I³

COVID-19 is a disease which originated in China in 2019 and has rapidly spread to become a pandemic. COVID-19 is less common in children and young adults and cases among this group of individuals are usually not as severe as in the elderly, the immunocompromised or those with co-morbidities. Research of COVID-19 in children is not as robust as in adults probably due to the aforementioned reason. We report four cases of COVID-19 in children who had mild to severe disease course. These children had other co-morbid illnesses such as malaria, bacterial sepsis and rheumatic heart disease. Two of these children had rarer severe complications of the disease hardly reported in children, these were; pleural effusion and cholestatic liver disease. It may be important to screen every child that requires hospital admission for COVID-19 in order to make early diagnosis of the disease and to commence appropriate therapy where necessary. This may forestall development of complications including death in such children.

COVID-19, sepsis, cholestatic jaundice, malaria, pleural effusion, rheumatic heart disease