Malaria still remains a leading cause of morbidity and mortality in humans despite intensive efforts from government and sanitary bodies to control malaria. Common presentations of malaria include intermittent fever with chills and rigors, jaundice, renal failure, myalgia etc. In endemic regions, malaria can present with unusual features due to development of immunity, indiscriminate use of antimalarial drugs and increasing resistance to antimalarial drugs. Post malaria neurological syndrome has been described in literature as a rare complication of malaria. To our knowledge, bilateral peroneal axonal neuropathy as a post malaria neurological syndrome is an undescribed entity. We report an unusual and a rare presentation of falciparum malaria.