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{
    "pk": 939,
    "title": "Cerebral Malaria in a Patient with Recent Travel to the Congo Presenting with Delirium: A Case Report",
    "subtitle": null,
    "abstract": "Introduction:\n Cerebral malaria, a syndrome of altered consciousness, is a rare and severe neurologic complication resulting from Plasmodium falciparum.1 Historically, cerebral malaria has been seen more frequently in children rather than adults. To complicate the diagnosis, cerebral malaria has few specific symptoms and neurologic findings can vary with each case.\nCase Report:\n We describe a case of a 61-year-old male who returned from the Democratic Republic of Congo and presented to the emergency department with dehydration, fatigue, and intermittent confusion. He was ultimately diagnosed with cerebral malaria caused by P falciparum.\nConclusion:\n Even with close monitoring and appropriate treatment, cerebral malaria carries a severe risk of long-term neurocognitive deficits and a high mortality rate.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "malaria"
        },
        {
            "word": "cerebral malaria"
        },
        {
            "word": "fever in returned traveler"
        },
        {
            "word": "Plasmodium falciparum"
        },
        {
            "word": "delirium"
        },
        {
            "word": "altered mental status"
        },
        {
            "word": "travel history"
        },
        {
            "word": "Infectious disease"
        },
        {
            "word": "tropical medicine"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/99z5d0sh",
    "frozenauthors": [
        {
            "first_name": "Megan",
            "middle_name": "T.",
            "last_name": "Roberson",
            "name_suffix": "",
            "institution": "Vanderbilt University Medical Center, Department of Emergency Medicine, Nashville, Tennessee",
            "department": "None"
        },
        {
            "first_name": "Austin",
            "middle_name": "T.",
            "last_name": "Smith",
            "name_suffix": "",
            "institution": "Vanderbilt University Medical Center, Department of Emergency Medicine, Nashville, Tennessee",
            "department": "None"
        }
    ],
    "date_submitted": "2020-10-20T07:49:12+08:00",
    "date_accepted": "2020-10-20T07:49:12+08:00",
    "date_published": "2020-10-20T07:50:06+08:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/939/galley/687/download/"
        }
    ]
}