Schoolof Biology on Instagram: "See what Pernicious Malaria Can do to You: . Symmetrical peripheral gangrene (SPG) is defined as symmetrical distal ischemic change at two or more sites in the 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