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Scenario
“A women’s Lacrosse player has a bad sore throat, fever of 102, and malaise for a week. There are several cases of strep throat on campus. Competition for the season starts in one week.” (Mononucleosis)
Clinical Scenario: Mononucleosis
Mononucleosis is a common medical condition that affects thousands of athletes each year. Variability of this disease can present of a rare risk splenic rupture which can present sports medicine clinicians with a difficult return to play decisions. Currently there are no guidelines that are evidence based for management of an athlete that has mononucleosis. The incubation period are 30 to 50 days, controlling the disease can be difficult especially in a school population. Athletes ranging from 15 to 19 years old are a particular concern because physicians are often pressured by parents, coaches, and patients to let the athlete resume athletic competition soon than they should. If an athlete returns to play too early the athlete is optionally at risk for a splenic rupture. An estimated splenic rupture to occur is 0.1% of all cases of monon…