Being a tropical disease makes it very unlikely and so a doctor will not even be considering it. By the time they’ve tried different therapies and start considering malaria, it’s too late. I’ve seen this happen to a couple of Africans who travel to Europe while gestation is ongoing and they’re dead 2 weeks later. As another thread said, it’s cheap to carry malaria meds when you travel, do it. If you start feeling offish - joint pain, fever, malaise, get a blood microscopic test for it and start the meds. Malaria is brutal