Algid Malaria (P. falciparum) in a Living Donor Liver Transplantation Recipient

Liver transplantation is the gold standard for end stage liver disease. Infections continue to be the commonest cause of post transplantation morbidities. Infections can be classified into bacterial, fungal, viral and parasitic. Parasitic infections are can be further classified into protozoal and helminthic. Malaria is one of the protozoal infections. Very few cases of malaria after liver transplantation have been reported in the literature so far. Post transplantation malaria may be either acquired primarily or reactivation following immunosuppression or transmitted through organ or blood products. We describe a case of P. falciparum malaria acquired primarily post-transplant in a patient with ABO incompatible transplantation. Patient presented with acute febrile illness and shock along with mild graft dysfunction. After a diagnostic delay he was successfully treated with Artemisinin Containing Treatment regimen