TY - JOUR TT - A Rare Presentation to the Emergency Department with Confusion: Cerebral Malaria AU - Karadana, Gökçe Akgül AU - Dikme, Özlem AU - Yeniocak, Selman AU - Topaçoğlu, Hakan PY - 2015 DA - January JF - Journal of Emergency Medicine Case Reports PB - Acil Tıp Uzmanları Derneği WT - DergiPark SN - 2149-9934 SP - 1 EP - 3 VL - 6 IS - 1 KW - Bilinç Bulanıklığı KW - ateş KW - sıtma N2 - Introduction: In the case of patients presenting to the emergency department with confusion, many diseases should be considered in the differential diagnosis. Cerebral malaria is a serious complication of malaria presenting with somnolence, coma, delirium, and seizures and has a mortality rate of 20%.Case Report: In this report, we present the case of a patient who was brought by ambulance to the emergency department with sudden onset of confusion, which was eventually diagnosed as cerebral malaria. Conclusion: In patients presenting with confusion, obtaining detailed and repetitive history can be life-saving CR - Cooke JL, Barsan WG. Altered Mental Status and Coma. In: Barton ED, Collings JL, DeBlieux PM, Gisondi MA, Nadel ES, Editors. James G. Adams. Emergency Medicine. Canada: Saunders Elsevier: 2008: p. 101-5. CR - Huff JS. Confusion. In: Marx J, Hockberger R,Walls R. Editors. Rosen’s Emer- gency Medicine 7th Ed. Philadelphia: Mosby Elsevier; 2010: p. 1056-62. CR - Szela JL, Tayali JY, Band JD. Malaria. In: Tintinalli JE, Stapczynski JS, Ma OJ, Cline DM, Cydulka R, Meckler GD Editors. Tintinalli’s Emergency Medici- ne, 7th Ed. A Comprehensive Study Guide. United States: McGraw Hill Companies: 2011: p.1056-62. CR - Greenwood BM, Bojang K, Whitty CJ, Targett GA. Malaria. Lancet 2005; 365: 1487-98. [CrossRef] CR - Greenwood BM, Fidock DA, Kyle DE. Malaria: progress, perils, and pros- pects for eradication. J Clin Invest 2008; 118: 1266-76. [CrossRef] CR - Cox-Singh J, Davis TM, Lee KS. Plasmodium knowlesi malaria in humans is widely distributed and potentially life threatening. Clin Infect Dis 2008: 46: 165-71. [CrossRef] CR - World Health Organization (WHO): International Travel and Health, 2009. Geneva 8. Available at: http://whqlibdoc.who.int/publicati- ons/2009/9789241580427_eng.pdf. [CrossRef] CR - Dorsey G, Ghandhi M, Oxygi JH. Difficulties in the prevention, diagnosis and treatment of imported malaria. Arch Intern Med 2000; 160: 2505-10. [CrossRef] CR - Freedman D.O, Malaria prevention in short term travelers. N Engl J Med 2008; 359: 603-12. [CrossRef] CR - Centers for Disease Control and Prevention: Malaria deaths following inappropriate malaria chemoprophylaxis—United States. MMWR Morb Mortal Wkly Rep 2001; 50: 597. http://www.ncbi.nlm.nih.gov/pub- med/1147652. UR - https://dergipark.org.tr/en/pub/jemcr/issue//535919 L1 - https://dergipark.org.tr/en/download/article-file/663896 ER -