Sequestration of PRBC's was evident in the small vessels of the heart (Figure 5d ). Endothelial cells were prominent as sometimes observed in patients with sepsis whose cells are responding to generalized stimuli [18] . There was no evidence of myocarditis and the heart muscle fibers appeared normal. There was focal petechial haemorrhage in the subendocardium, which may relate to resuscitation, or be secondary to malaria.