Tony Ete^1,, Akash Roy¹, Prasanta Kumar Bhattacharya¹, Preeti Jane Picardo¹, Md Jamil¹, Ibandalin M Shangpliang¹, Hage Nobin¹

Plasmodium vivax malaria is an endemic infection in India and is commonly associated with mild haematological abnormalities. Severe thrombocytopenia as well as purpuric skin manifestation are common in isolated falciparum and mixed falciparum/vivax malaria, but is very rare in isolated P.vivax infection. We hereby report a case of severe thrombocytopenia in a case of vivax malaria along with skin lesions presenting as purpura, ecchymosis and urticaria. Vivax malaria can no longer be considered as benign and atypical presentations with severe complications should be borne in the minds of physicians especially in a malaria endemic country like India.

Malaria, Plasmodium vivax, severe thrombocytopenia, purpura, ecchymosis