Dear Customer , This is Dr. S. Tomar from healthcaremagic.com s medical team and I ll be your medical advisor for this question. First of all thank you for sharing your concern with us and showing trust on us. Hyperbilirubinemia is common in malaria and is not related with liver impairment and is a result of hemolysis during illness . Hepatic involvement is seen in some cases of severe falciparum malaria in which conjugated bilirubin is increased with ALT , AST and prothrombin time as well. Hepatic dysfunction in falciparum malaria should be taken seriously . In most of the cases the values of bilirubin comes back to normal as with in a week after treatment is initiated . Other causes like viral hepatitis should also be investigated . I would suggest you to consult further with your GP . This is my initial response and discussion is open until you have any query or need further clarification. I wish you good health . Thank you for your question and feel free to contact further for any question . sincerely, Dr. Shardendu Tomar