Severe malaria may involve confusion, convulsions or difficulty breathing. These signs require emergency care, not an online conversation. This overview is not a complete emergency checklist or a diagnosis. Seek immediate in-person emergency care for confusion, convulsions or breathing difficulty rather than waiting for a chat response. Someone nearby may help arrange transport and explain what happened. These are examples, not a complete list; another serious illness could be responsible. Do not delay care while deciding whether symptoms fit malaria or trying to choose a medicine online.