Malaria is an endemic disease in Pakistan but congenital malaria is a rare entity. Congenital Malaria is acquired from mother either during pregnancy or perinatally at the time of birth. In endemic areas it can present in the newborn without obvious history of fever and parasitemia in mother. We report 2 months old infant who presented to us with c/o fever for 40 days and was misdiagnosed initially as a case of neonatal sepsis. This case signifies the importance that congenital malaria should be included in the differential diagnosis of neonatal sepsis even if the mother has no proven malarial episodes during the gestational period. Early diagnosis and treatment of congenital malaria can prevent infant morbidity and mortality

Keywords: Congenital malaria, plasmodium vivax infection, time of birth