Malaria continues to be of global public health importance. Sub-Saharan Africa and Nigeria (being the most populous country in Sub-Saharan Africa) continues to bear the greatest brunt of the over 219 million estimated cases and the 435,000 mortalities in 2017. There is an increasing body of evidence that in endemic regions, severe malaria is not always due to malaria alone. Cases of bacteria being present in the bloodstream of children with severe forms of malaria have been reported in other parts of Africa. The types of bacteria involved vary from place to place and even in the same place from one time to another. But there is yet to be a consensus as to the significance of this bacterial co-infection with severe malaria which seems to be occurring more frequently than mere chance will suggest. Furthermore, most existing studies did not demonstrate antibiotic sensitivity pattern of the organisms. In view of the rarity of literature on this subject from Nigeria, this study aimed to determine the prevalence of bacterial co-infections among children with severe malaria in Ahmadu Bello University Teaching Hospital, Zaria, North-western Nigeria. It also demonstrated the antibiotic sensitivity pattern of the organism isolated as well as examined if there was any correlation between bacterial co-infection with severe malaria and the factors of age and nutritional status.