Return to Contact Sports following Infectious Mononucleosis: The Role of Serial Ultrasonography

@article{OConnor2011ReturnTC,
  title={Return to Contact Sports following Infectious Mononucleosis: The Role of Serial Ultrasonography},
  author={T. O’Connor and L. Skinner and P. Kiely and J. Fenton},
  journal={ENT Journal},
  year={2011},
  volume={90},
  pages={E21 - E24}
}
Splenic rupture is a rare but potentially fatal complication of infectious mononucleosis. Athletes returning to contact sports following infectious mononucleosis are at potential risk of splenic rupture secondary to abdominal trauma. No clear consensus exists as to when it is safe to allow these athletes return to contact sports. Suggested periods of abstinence have ranged from 2 weeks to 6 months. We outline our experiences with the use of abdominal ultrasonography at 1 month after the… Expand
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References

SHOWING 1-10 OF 17 REFERENCES
Rupture of the spleen in infectious mononucleosis: a critical review.
TLDR
Because the spleen remains susceptible to rupture even after recovery based on all clinical, hematologic, and serological criteria, it is recommended that full normal activities not be resumed by the nonathlete and for six months by the athlete. Expand
Ultrasonographic evaluation of splenic enlargement in athletes with acute infectious mononucleosis
Objective: To quantitatively assess the degree and rate of splenic enlargement and the time required for regression of splenic enlargement in collegiate athletes diagnosed with acute infectiousExpand
Infectious mononucleosis and the spleen
TLDR
An overview of infectious mononucleosis is provided and a practical approach to determining when an athlete may return to activity is presented. Expand
Spontaneous Splenic Rupture in Infectious Mononucleosis
TLDR
A case in which a diagnosis of splenic rupture occurring spontaneously on a background of infectious mononucleosis was made as a result of a high index of suspicion. Expand
How I Manage Infectious Mononucleosis
TLDR
Excess fatigue and sore throat are the most common symptoms in active teenagers and young adults with mononucleosis, and Laboratory findings show lymphocytosis with atypical lymphocytes and positive heterophile reactions. Expand
Hepatosplenomegaly in infectious mononucleosis, assessed by ultrasonic scanning.
TLDR
There is a striking parallelism between the curves for these parameters, which might indicate that the organs as well as the blood tests return to normal within 28 days, if this holds true, the warning to abstain from physical exercise and alcoholic intake may be limited to a period of about 1 month. Expand
Aerobic Capacity after Contracting lnfectious Mononucleosis.
TLDR
Extended bed rest does not seem to be indicated for the individual recovering from mononucleosis, and there were no differences within the groups when comparing VO2 max, METS, or run time to exhaustion on the two aerobic tests. Expand
The Many Faces of Infectious Mononucleosis: The Spectrum of Epstein-Barr Virus Infection in Children
TLDR
The spectrum of infectious mononucleosis continues to be expanded and now includes acute, subacute, and chronic disease states, each with its own separate set of problems. Expand
INFECTIOUS MONONUCLEOSIS. 2. RELATION OF BED REST AND ACTIVITY TO PROGNOSIS.
In this study of 131 patients with infectious mononucleosis, those whose activity was unrestricted improved more rapidly than those kept at strict bed rest during the acute stage of the disease.OnlyExpand
Splenic rupture in infectious mononucleosis.
Excerpt Since splenic rupture is a rare complication of mononucleosis, knowledge of the incidence of this complication is gained only as cases are reported. Details of the clinical course of patien...
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1
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