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Malaria is a life-threatening disease caused by Plasmodium species and transmitted by female Anopheles mosquitoes. Acute Kidney Injury (AKI) in children with severe malaria is common and associated with adverse hospital outcome. It has become increasingly prevalent in both developed and developing countries and it is associated with severe morbidity and mortality especially in children. The recognized factors associated with acute kidney injury among children with severe malaria are sociodemographic factors (age, sex, age of parents and level of education of parents); clinical factors and laboratory factors such hyperparasitaemia, hypoglycaemia, low level of haemoglobin and thrombocytopenia. This review showed that there is a high prevalence of acute kidney injury among children with severe malaria. Acute kidney injury among children with severe malaria is associated with low level of education of caretakers, young age of children, history of receiving NSAIDs and anaemia. The mortality rate of children with AKI is high.