Malaria mimicking acute appendicitis in an Ethiopian child: a case report

Abstract

Malaria remains a significant public health problem in Ethiopia, caused by Plasmodium species and presenting with variable clinical features. We report an 8-year-old Ethiopian boy with right lower abdominal pain, fever, and tenderness suggestive of acute appendicitis. Laboratory tests were unremarkable, and appendectomy revealed a normal appendix. Persistent postoperative fever prompted malaria testing, which was positive for Plasmodium falciparum. Antimalarial treatment led to rapid recovery, and the patient was discharged on the fourth day of admission. This case highlights that malaria can mimic appendicitis in endemic regions. Preoperative malaria evaluation may prevent unnecessary surgery and ensure timely treatment.