{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T09:52:42Z","timestamp":1775641962977,"version":"3.50.1"},"reference-count":79,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T00:00:00Z","timestamp":1775606400000},"content-version":"vor","delay-in-days":97,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Parasitology Research"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>By the mid\u201020th century, Europe eradicated endemic malaria. However, the significance of imported infections in nonendemic regions is growing. These cases often constitute the majority, can sustain transmission, trigger relapses, and increase mortality in these areas.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective, single\u2010center study of patients with malaria treated at the University Hospital Regensburg located in the State of Bavaria, Germany, between 2012 and 2023. Our single\u2010center epidemiological data were analyzed in the context of the COVID\u201019 pandemic and compared with overall data from Bavaria, Germany, and Europe.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fifty\u2010eight patients with malaria were treated at a German university hospital. The median age at diagnosis was 37.5 years, with 65% of patients being male. A total of 31.6% of the patients required intensive care. This study revealed a survival rate of 98%. Only 17% had taken malaria prophylaxis, and\n                      <jats:italic>Plasmodium falciparum<\/jats:italic>\n                      was the causative agent in 96% of cases. The primary laboratory abnormality was thrombocytopenia. Germany reports a significant number of imported malaria cases annually. North Rhine\u2010Westphalia is the most affected region. The COVID\u201019 pandemic impacted global malaria epidemiology, leading to a drastic decrease in malaria cases across Europe, including Germany.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Imported malaria remains rare in Europe. However, severe cases still occur, often requiring intensive care and resulting in high morbidity or even death. The diagnosis and management of malaria in nonendemic settings present a clinical challenge, and the delayed diagnosis is responsible for preventable deaths.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/japr\/9333826","type":"journal-article","created":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T09:03:17Z","timestamp":1775638997000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Malaria: 11\u2010Year Experience With Imported Cases at a German University Hospital and Epidemiological Trends Amid the COVID\u201019 Pandemic"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-2449-635X","authenticated-orcid":false,"given":"Patricia","family":"Mester","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia","family":"Kunst","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephan","family":"Schmid","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-7363-8423","authenticated-orcid":false,"given":"Katharina","family":"Zimmermann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sigrid","family":"B\u00fclow","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janine","family":"Rennert","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benedikt M. 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