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Across tropical Africa, febrile children are treated for malaria either with or without confirmation thus resulting in failure to diagnose and treat other co-morbidities like urinary tract infections (UTI) and upper respiratory tract infection (URTI) that may coexist with malaria. This cross-sectional study examined coexisting malaria with UTI and further assessed the antimicrobial susceptibility pattern of the isolated organisms among children aged less than 5 years presenting with fever and malaria. Thick and thin blood films were used for the diagnosis of malaria and urine samples were collected in sterile, widescrewed-mouth, leak proof containers for culture and sensitivity. Organisms isolated were identified and tested for their antimicrobial sensitivity patterns using the Kirby-Bauer disc diffusion method. Prevalence of malaria with coexisting UTI was 3.3% with majority (58.0%) of the participants being female. Age was associated with malaria and UTI co infection prevalence of co-infection being 24-36 age group. Escherichia coli (50%) Staphylococcus aureus (25%), Klebsiella species(16.70%) and Proteus species (8.3%) were isolated.