Complete heart block - A rare complication of severe malaria

Tumors, parasitic infections, pyogenic and granulomatous infections may involve the conducting system and cause complete heart block. These are however very rare causes of CHB and maybe regarded as clinical curiosities. Very few such cases have been reported in literature. We are reporting a case of 14-year-old male who presented after an episode of syncope with history of fever for the last 10 days. At presentation, patient had bradycardia and ECG was suggestive of complete heart block. His labs were suggestive of multiorgan dysfunction and card test for malaria came positive for P. vivax and P. falciparum.