Objective: To study the pattern of co-morbidities in children having Severe Acute Malnutrition in MTC attached to a teaching hospital. Methods: In a span of five years all the children (1082), admitted in MTC of PBM Hospital,S.P.Medical College Bikaner, were studied for presence of one or more comorbid conditions along with severe acute malnutrition. Results: Out of the 1082 children who were admitted to Malnutrition Treatment Center (MTC), acute respiratory infection is the most common

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... co-morbidity in children with Severe Acute Malnutrition and followed by Anaemia (43.17%). Out of 1082 children having SAM 63.58% children were having one comorbidity, 26.89% were having two co-morbidity and 9.42% were having more than two co-morbidty. Conclusions: It is imperative to suspect and anticipate co-morbid condition in these children. High index of suspicion for these co-morbidities is the key to reduce mortality and better outcome in children having acute severe malnutrition.