• Hussein Karim Manji, Upendo George, Namala Patrick Mkopi, and Karim Premji Manji.
• Muhimbili University of Health and Allied Sciences, Department of Emergency Medicine, P.O. Box 65001, Dar-es-Salaam, Tanzania.
• Pan Afr Med J. 2020 Jan 1; 35 (Suppl 2): 118.

AbstractWe are reporting a case of Acute Post-Infectious Flaccid paralysis also commonly known as Guillain-Barré Syndrome (GBS) in a patient with confirmed COVID-19 infection. GBS often occurs following an infectious trigger which induces autoimmune reaction causing damage to peripheral nerves. So far, only 8 cases have been described in association with COVID-19. This is the first to be described in Tanzania in an African Child, and probably the first in the continent. This report is presented for clinicians to be aware and for the medical fraternity to look into this unusual presentation which may shed some more light on possible pathways of the pathogenesis and clinical manifestations. We recommend that the presentation of GBS with acute respiratory distress should warrant extra precaution and a testing for COVID-19 especially when the symptoms of COVID-19 are protean.©Hussein Karim Manji et al.

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