Lassa fever is endemic in Nigeria, with outbreaks reported in several Local Government Areas in Edo State over the last few years; but little is known about lassa fever in children living in Ovia North East Local Government Area. We present case reports of Lassa fever in two paediatric patients presenting at Igbinedion University Teaching Hospital (IUTH), Okada (located in Ovia North East LGA), between June 2017 and March 2018. We highlight the absence of the distinct clinical stages of the disease in a 3 year old, but its presence in an 11 year old; however, high fever (up to 40.5⁰C) was a constant feature in both cases reported. Both patients died, due to late effective referral to Irrua specialist Teaching Hospital, Irrua (Lassa fever Centre). This was mainly as a result of inability to afford transportation cost and hospital bills in addition to late diagnosis. Thus, we emphasize the need for free/affordable transportation for such cases to encourage early referral and treatment. Also, a high index of suspicion of Lassa fever is advised in managing all paediatric cases with high fever (>39⁰C) presenting to IUTH, Okada.