Unusual presentation of Plasmodium vivax malaria mimicking acute myocardial infarction – a case report

Malaria caused by Plasmodium vivax is usually an uncomplicated disease that runs a benign course. We came across an unusual presentation of a patient with Plasmodium vivax malaria mimicking acute myocardial infarction in the Emergency Department of Peerless Hospital and B C Roy Research Centre. Though conduction abnormalities and non-specific ST-T segment changes are recognized manifestations of malaria, especially P. falciparum type, ST elevation mimicking MI has never been reported in Plasmodium vivax Malaria. In our knowledge and subsequent literature search this is probably the first case report of this unusual presentation.