To the Editor: Cerebral malaria is seen mainly in children andnonimmune patients in African countries where infection withPlasmodium falciparum is endemic. Common symptoms are epilepticseizures, confusion, agitation, disorientation, and coma. Subarachnoidhemorrhage due to plasmodium infection is very rare,1 but itsincidence may be underestimated. We describe a patient withcerebral malaria who presented with a subarachnoid hemorrhage.
Five days after returning from a trip to Kenya, a 54-year-oldwoman became progressively confused. Because she had multipleallergies, she had not received antimalarial medication prophylactically.On examination in the emergency room, she was obtunded and afebrileand . . . [Full Text of this Article]