Acute gingival bleeding and falciparum malaria.

Sir,

In reference to letter to the editor by Joob and Wiwanitkit[1] regarding our case report of acute gingival bleeding as a complication of dengue hemorrhagic fever published in your journal dengue.[2] He has emphasized the fact that dengue fever should be included in differential diagnosis of acute gingival bleeding, which is manifested as a result of thrombocytopenia in dengue.[12] We would also like to draw your attention toward falciparum malaria as one more probable cause of thrombocytopenia, which may manifest as acute gingival bleeding.[3] As malaria can cause thrombocytopenia via immune-mediated mechanisms.[4] Therefore, falciparum malaria should also be considered in differential diagnosis of acute gingival bleeding, as both these diseases are mosquito borne tropical diseases and very much relevant in this context.[23]