A 28-day-old full-term male neonate was admitted with symptoms and findings of jaundice,
hepatosplenomegaly, thrombocytopenia and a cavernous hemangioma on the forearm. Patient’s
mother gave a history of antimalarial drug usage before pregnancy. He did not have characteristic
symptoms like fever and chills at presentation, and had an associated hemangioma which could
partly explain the jaundice and thrombocytopenia. The diagnosis of congenital malaria was
established only when Plasmodium vivax was detected after the third blood smear.