Medical case_hub on Instagram: "Symmetrical peripheral gangrene (SPG) is defined as symmetrical distal ischemic change at two or more sites in t absence of any vasculitis or large-vessel obstruction. SPG caused by malaria is very rare, and most of the cases are associated with Plasmodium falciparum. Herein, we present a case of SPG due to severe Plasmodium vivax malaria. All peripheral pulses including dorsalis pedis were palpable. Prothrombin time was 10 s (normal: 11-15 s), activated partial t