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Case Reports in Medicine
Volume 2011 (2011), Article ID 202083, 5 pages
Case Report

Fatal Myocarditis in Course of Plasmodium falciparum Infection: Case Report and Review of Cardiac Complications in Malaria

1Scuola di Specializzazione in Malattie Infettive, Università degli Studi di Padova, Via Giustiniani, 35122 Padova, Italy
2Unità Operativa di Malattie infettive e Tropicali, Ospedale S. Bortolo, Viale F. Rodolfi 37, 36100 Vicenza, Italy

Received 10 January 2011; Accepted 21 February 2011

Academic Editor: J. W. M. Van der Meer

Copyright © 2011 Paola Costenaro et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


We describe a fatal case of imported malaria where the sole finding revealed at the postmortem evaluation was an acute lymphocytic myocarditis with myocardiolysis. This case recalls the potential importance of myocardial injury in the prognosis of malaria and prompts a reevaluation of current perspectives on the pathogenesis of severe falciparum infection. In the light of this, we have reviewed the cases of cardiac complications in malaria published to date.