Vol. 3, Issue 3 (2017)
Spontaneous rupture of the spleen: Think about malaria
Author(s): A Zinebi, H Kechna, H Eddou, T Lamsiah, T Africha, T Ziadi, MK Moudden, MEl Baaj
Abstract: Despite advances in diagnosis and treatment, malaria remains deadly. One of the potentially lethal complications of malaria is the spontaneous rupture of the spleen. We report a case revealing a malarial access to palsmodium ovale in a 34 year old male admitted for fever at 40°C evolving for 2 weeks accompanied by distension and diffuse abdominal pain. The computed tomography revealed peripheral fracture of the spleen with infarction and collection of fluid in abdomen. Spontaneous splenic rupture is a severe but fortunately rare complication of malaria infections. The clinical picture varies from pain in the left hypochondrium to a state of haemorrhagic shock. Conservative treatment may be considered in cases of haemodynamic stablility and under tight supervision.