 The children died within hours of admission to hospitals due to acute congestive heart failure and cardiovascular collapse which was suggestive of acute viral myocarditis.In the midst of simultaneous outbreak, Coxsackie B virus were initially thought to be the causative agent but not detected among the deceased children.Through autopsies performed on the deceased children, their deaths is caused by several symptoms linked to the disease such as poor peripheral perfusion, tachycardia and cardiac failures with earlier developed symptoms such as shock, pallor, cold extremities, delayed capillary refill and weak peripheral pulses.