[Malaria tropica with macular hemorrhage].

We describe the case of a 33-year-old patient with recurrent tropical malaria, comma and isolated subpigmentepithelial macular hemorrhage causing irreversible visual loss. This strictly subpigmentepithelial macular hemorrhage is the second case described. Its importance lies in the fact that the typical plugging of vessels in acute tropical malaria is also observed in the choroid. Current knowledge about occlusion during acute malaria falciparum infection and hypotheses concerning its cause are reviewed in relation to retinal and choroidal pathology.