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May return to play now if receives a 4-week course of oral valacyclovir
1%
12/2139
May return to play now if there is no sign of splenomegaly
62%
1330/2139
May return to play in 4 weeks if receives a 4-week course of oral valacyclovir
13/2139
May return to play in 4 weeks if there is no sign of splenomegaly
31%
657/2139
May return to play now if there is no sign of splenomegaly and receives a 4-week course of oral valacyclovir
5%
106/2139
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Clinical evidence supports a return to all sports 4 weeks after the resolution of symptoms provided that the spleen has returned to normal size. Ultrasound has been used to demonstrate that the spleen has returned to normal size. Infectious mononucleosis commonly affects adolescents and young adults. Splenomegaly may occur and predispose the athlete to splenic rupture. Splenic rupture has been reported in nonathletes as well as in patients with normal-sized spleens. Auwaerter presents a Level 5 review stating that infectious mononucleosis is a febrile illness accompanied by pharyngitis,lymph node enlargement, and transient fatigue. Kinderknecht presents a Level 5 review of infection mononucleosis stating that splenic rupture has not been reported in the literature after an individual has been ill for more than 3 weeks.
2.6
(25)
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