“…It is characterized by severe proteinuria (Rees et al 1972; Rui-mei et al 1998b; Obgadoyi and Tembeng 1999, Sinnah et al 1999), rise in blood urea, low urine specific gravity, low ratio of urinary to blood urea ( Vanvelthuysen,1996) and hyper-kalaemia and metabolic acidosis (Mishra et al, 2002). ARF occurs in about 60% of all cases of complicated malaria (Boonpucknavig and Sitprija, 1979;Sitprija, 1988;Nanda et al, 2004). In Plasmodium falciparum malaria, ARF occurs in 1-5% of cases (Sheehy and Reba, 1967;Prakash et al, 1996;Naqvi et al, 2003) with mortality of 15-45% (Barsoum, 2000) Considering the endemicity of malaria in Nigeria, the mortality and morbidity rate across families, particularly in children and pregnant women, accurate prognosis and proper management are very necessary.…”