Severe malaria is most commonly associated with Plasmodium falciparum. Plasmodium vivax is increasingly
recognized as being capable of causing severe disease. In contrast, Plasmodium ovale is considered as a cause of
benign disease and evidence supporting the occurrence of severe or complicated ovale infection is rare. This report
describes a case of severe P. ovale infection in a patient presenting with jaundice, respiratory distress, severe
thrombocytopenia, petechiae, and hypotension. He had no apparent underlying risk factors for severe disease.