Spontaneous splanic rupture and falciparum malaria in central Sudan : a report of nine cases with review of literature

Abstract EN

The clinical, laboratory, and operative findings of nine cases of spontaneous rupture of the spleen due to P.falciparum malaria are presented.

They all occurred in a period of six months (October 1993 to March 1994).

No previous reports were found in Sudanese literature.

Worldwide, there are a number of case reports mainly due to P.

vivax and in non - immune, acutely infected international travelers.

Very few cases were due toP.

falciparum.

Only 11 cases were reported due to falciparum malaria in a review of literature in the period from 1960 to 1991.

A review of the literature is presented with a discussion of possible pathogenesis and various approaches to management.