Congenital malaria can be acquired by transmission of parasite from mother to child during pregnancy or perinatally during labor. Placental barrier and maternal immunoglobulin G antibodies, which cross the placenta, may protect the fetus to some extent. However, it is much more common in non-immune population and the incidence goes up during epidemics of malaria. We report a rare case of congenital malaria due to mixed species in a neonate who presented with fever, pallor and hepatosplenomegaly.
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