Malaria is a protozoan disease, transmitted by the bite of the infected Anopheles mosquito. There are four species of plasmodia causing the disease, but the two causing the morbidity and mortality are the plasmodium falciparum and the vivax. The disease invariably causes splenomegaly, which can be evaluated and assessed for the better prognosis of the patient. The study shows the evaluation of splenomegaly, both clinically and USG examination. AIMS AND OBJECTIVES:The main aim of this study is to show the prevalence of splenomegaly in malaria and compare with USG examination. MATERIAL AND METHODS: The patients included in the study were suffering from malaria (smear positive) belonging to the age group of 15 to 70 years, at Chhattisgarh Institute of Medical Sciences, Bilaspur (CG). The time span of the study was 1 year. Measurement of splenic enlargement was done, both clinical and with ultrasound. The observations were tabulated and assessed. The patients excluded were those having fever and splenomegaly resulting from tropical disease. RESULTS: The USG examination to detect splenomegaly in cases of malaria, is more sensitive and specific as compared to the clinical examination. CONCLUSION: It is recommended that splenomegaly in malaria should be detected by USG examination as compared to clinical examination.

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