title: Cerebral malaria complicated with coma, multiorgan failure and psychosocial sequellae observed among non-immune travelers to Benin, Sudan and Madagascar.
abstract: OBJECTIVE
  Severe malaria represents less than 10% of all malaria cases and is associated with significant mortality. The aim of this case series was to review severe malaria cases in travelers within the last 10 years in Slovakia.
  
  
  METHODS
  All cases of severe malaria in travelers reported within last 10 years from the Inpatient Department in Slovakia to the Slovak Tropical Institute (STI) are reviewed. Only those traveling as tourist to Sub-Saharan Africa were included.
  
  
  RESULTS
  During the last 10 years, eight (n=8) cases of cerebral malaria were reported, of which only one died (12.5%). Seven of all 8 cases had deep coma (87.5%), 4 (50%) required ventilator support, 4 (50%) required dialysis, 5 (62.5%) had liver failure and 6 (75%) had severe acidosis.
  
  
  CONCLUSIONS
  Severe malarial cases were rarely detected among travelers returning to Slovakia within last 10 years. In survivors usually no sequellae remained. One patient treated with quinine alone died.
authors.affiliation: St. Elizabeth University Tropical Programs in Marial Lou, South Sudan, Buikwe, Uganda.
authors.forename: Beata
authors.initials: B
authors.lastname: Saniova
authors.affiliation: St. Elizabeth University Tropical Programs in Marial Lou, South Sudan, Buikwe, Uganda.
authors.forename: Dusan
authors.initials: D
authors.lastname: Krkoska
authors.affiliation: St. Elizabeth University Tropical Programs in Marial Lou, South Sudan, Buikwe, Uganda.
authors.forename: Marta
authors.initials: M
authors.lastname: Taziarova
authors.affiliation: St. Elizabeth University Tropical Programs in Marial Lou, South Sudan, Buikwe, Uganda.
authors.forename: Marek
authors.initials: M
authors.lastname: Duris
authors.affiliation: St. Elizabeth University Tropical Programs in Marial Lou, South Sudan, Buikwe, Uganda.
authors.forename: Andrea
authors.initials: A
authors.lastname: Kalavska
authors.affiliation: St. Elizabeth University Tropical Programs in Marial Lou, South Sudan, Buikwe, Uganda.
authors.forename: Ivica
authors.initials: I
authors.lastname: Gulasova
authors.affiliation: Medical School, Martin University Hospital, Martin, Slovakia.
authors.forename: Andrea
authors.initials: A
authors.lastname: Shahum
authors.affiliation: St. Elizabeth University Tropical Programs in Marial Lou, South Sudan, Buikwe, Uganda.
authors.forename: Vladimír
authors.initials: V
authors.lastname: Krčméry