Case Report


, Volume 34, Issue 1, pp 43-45

First online:

Spontaneous Splenic Rupture, in Tertian Malaria

  • H. R. GockelAffiliated withDept. of General and Abdominal Surgery, University of Mainz
  • , J. HeidemannAffiliated withDept. of Medicine B, University of Münster
  • , D. LorenzAffiliated withDept. of General and Visceral Surgery, Dr.-Horst-Schmidt-Kliniken
  • , I. GockelAffiliated withDept. of General and Abdominal Surgery, University of Mainz Email author 

Rent the article at a discount

Rent now

* Final gross prices may vary according to local VAT.

Get Access


We report a case of tertian malaria in a 36-year-old Caucasian male complicated by spontaneous splenic rupture 2 months after returning from Kenya. The ruptured and enlarged spleen displaying multiple subcapsular hemorrhages was surgically resected. Histological examination revealed a marked enlargement of the red pulp and a reduced white pulp in addition to hyperemia of the spleen. Tertian malaria was diagnosed by peripheral blood smear and elevated antibody titer against Plasmodium vivax. The patient underwent antimalarial therapy with chloroquine and primaquine and the further course was uneventful. Etiopathology, differential diagnosis and therapy of this rare complication in malaria are discussed.