Genetic analysis of remains belonging to two Medici brothers has confirmed that Grand Duke Francesco de Medici died from malaria in 1587, effectively debunking centuries-old rumors of arsenic poisoning. Researchers from Yale University and the University of Pise published these findings in the journal iScience, utilizing DNA extracted from rib samples to identify the presence of Plasmodium falciparum, the most lethal malaria parasite.
How Genetic Sequencing Solved a Renaissance Mystery
The investigation focused on two prominent figures of the Tuscan Renaissance: Cardinal Giovanni de Medici, who died in 1562, and his brother, Grand Duke Francesco, who died 25 years later. According to Serena Tucci, a Yale assistant professor of anthropology and the study’s lead author, the project demonstrates how modern DNA analysis can effectively reconstruct the history of deadly pathogens.

While historical rumors suggested Francesco was poisoned by his rival and brother, Ferdinando de Medici, the scientific evidence points to a different reality. Valentina Giuffra, a professor of the history of medicine at the University of Pise, stated that the genetic data confirms historical reports from the era. These contemporary accounts described symptoms consistent with malaria, including high fevers, which were exacerbated by ineffective medical treatments of the time, such as bloodletting.
The Medici family’s susceptibility to malaria was linked to their travel habits. The Cardinal and his brother Garzia, along with their mother Éléonore de Tolède, reportedly contracted the disease during a 1562 trip to the Tuscan coast, where marshlands served as prime breeding grounds for mosquitoes.
Why Malaria Remains a Global Health Priority
The study of ancient DNA serves more than just historical curiosity. Adalgisa Caccone, a Yale researcher and co-author, noted that understanding how these pathogens functioned in the past provides critical context for modern medical research. Despite eradication efforts in Italy that began in the 20th century, malaria continues to pose a significant threat to global health.
Data from the World Health Organization (WHO) highlights the scale of the ongoing crisis. In 2024, there were approximately 282 million reported cases of malaria worldwide, resulting in 610,000 deaths. By identifying specific strains—such as the double-infection found in Francesco’s remains—researchers gain insight into how the parasite evolves and persists within human populations.
Pro Tip: The Power of Paleopathology
By combining historical medical records with modern paleopathology—the study of ancient diseases—researchers can distinguish between environmental illnesses, such as malaria, and intentional acts of violence, providing a more accurate record of human history.

Frequently Asked Questions
- Was Francesco de Medici poisoned? No. According to the iScience study led by Yale and the University of Pise, genetic testing confirmed the presence of malaria parasites in his remains, disproving the theory of arsenic poisoning.
- How did researchers identify the disease? The team extracted DNA from four rib samples taken from the two brothers to identify the Plasmodium protozoan, which causes malaria.
- Is malaria still a threat today? Yes. The World Health Organization reports that malaria caused 610,000 deaths across 282 million cases in 2024.
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