An Interesting Case Report on Cerebellar and Psychiatric Manifestations in Malaria

Malaria remains a major cause of morbidity and mortality worldwide. The classic presentation of malaria with paroxysms of fever is seen only in 50%–70% of the patients. The development of immunity, the increasing resistance to anti-malarial drugs, and the indiscriminate use of anti-malarial drugs have led to malaria with the presentation of unusual features. Cerebellar ataxia, extrapyramidal rigidity and various psychiatric symptoms have been described either as early manifestations of cerebral malaria or as a part of post malaria neurological syndrome. In this case report, we present a patient with mixed malaria, who developed bilateral cerebellar signs and a delayed onset of psychiatric manifestations, who responded to anti-malarial treatment.