Acute illness is caused by bacteria, viruses, and
parasites. Co-infection is the simultaneous infection of a
host by multiple pathogens resulting in a delay in
diagnosis and bad prognosis. Currently, coronavirus
infection is a pandemic and global health concern.
Coronavirus infection in children with concomitant
other infections is rarely reported in our country. This
study was performed to find out the coronavirus
infection associated with recent illnesses to minimize
morbidity and mortality.
The study was done at Dr. M R Khan Shishu
Hospital & ICH from April 2020 to June 2020. Patients
with fever, rash, vomiting, diarrhea, cough, respiratory
distress, dysuria, convulsion, jaundice, and other
symptoms; admitted in the hospital were taken for this
study. The diagnosis was made by clinical symptoms plus
investigations accordingly and appropriate treatment
was given for recent illnesses. During follow up these
cases; there was the persistence of symptoms and some other new features appeared. These arouse our suspicion
that there might be associated with coronavirus infection
in this pandemic.
Thirty cases were taken co-infection with COVID-
19. Age was found 4 months to 8 years. The male-female
ratio was 1.5:1. Typhoid fever with COVID-19 12(40%),
Bacterial meningitis with COVID-19 6(20%), UTI with
COVID-19 3(10%), Paratyphoid fever with COVID-19
2(6.7%), Typhus/ Rickettsial fever with COVID-19
2(6.7%), HAV infection with COVID-192(6.7%), HEV
infection with COVID-19 1 (3.3%), Septic arthritis with
COVID-19 1 (3.3%), bacterial pneumonia with COVID-
19 1 (3.3%) were found. RT-PCR was positive for
COVID-19 30(100%), blood culture was positive for
Salmonella Typhi 4(13.3%), Widal test was reactive
(high rising titer) 8(26.7%), Latex agglutination test was
positive for bacterial meningitis 6(20%), urine culture
was positive for E.coli 3(10%), blood culture was positive
for Salmonella Para typhi A 2(6.7%), Weil-Felix reaction
was found (high rising titer) 2(6.7%), Anti HAV IgM
was positive 2(6.7%), Anti HEV IgM was positive
1(3.3%), Blood culture was positive (staph. aureus) for septic arthritis 1(3.3%), blood culture was positive
(strep. pneumoniae) for bacterial Pneumonia 1(3.3%).
This study showed that COVID-19 in Bangladeshi
children was found associated with co-infections. So, co-
infection with COVID-19 patients should be closely
monitored and managed accordingly.
Keywords : Co-infections, COVID-19.