Multiple-organ dysfunction in a case of Plasmodium vivax malaria

Malaria is a major public health problem in India. Previously considered benign, Plasmodium vivax malaria infection is now increasingly being recognised as a cause of severe and complicated malaria 1 . We present a case of an 11-yr-old male child, who developed multiple organ dysfunction in the form of oliguric acute renal failure, hepatitis, gastrointestinal bleeding with shock, bacterial peritonitis along with severe anaemia and thrombo cytopenia. The patient required multiple sessions of haemodialysis and blood product transfusions. The patient responded to standard antimalarial treatment and recovered without any sequel.