Abstract
Symmetrical peripheral gangrene is a known entity characterized by gangrene of two or more sites in absence of obvious large vessel obstruction. Such complications in common tropical infectious disease like Malaria is rare. Pathogenesis and treatment of symmetrical peripheral gangrene in malaria is unclear. However, can be attributable to cyto-adhesion, rosetting, and agglutination. Due to its rapid progression and sinister prognostic implications aggressive multidisciplinary team effort is essential. we present herewith a rare case of symmetrical peripheral gangrene in severe mixed Malaria.
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