The clinical range and management of spontaneous rupture of the pathological malarial spleen (SRPMS): A short case series from Sudan.

Introduction: Spontaneous rupture of the pathological malarial spleen (SRPMS) is a rare condition with a mortality rate among travelers of approximately 38 %, whereas it was around 10 % for local citizens. The mortality rate for overwhelming post-splenectomy sepsis was reported to be about 50 %.

Methods: A retrospective study was conducted from febraury2022 to July 2022. Baseline clinical presentations, management, and outcomes were recorded for analysis.

Results: We present a brief series of eight patients with (SRPMS). Of them, five had successful conservative treatment, while three underwent splenectomy. Only one of them received Pneumococcal vaccine.

Conclusion: SRPMS is a rare complication of malaria infection, it can be managed non-surgically, and splenectomy is necessary for unstable patients. Post-surgery vaccination remains crucial to prevent severe infections.