Infectious mononucleosis: Return to play

Research output: Contribution to journalArticlepeer-review

28 Scopus citations


Diagnosis of infectious mononucleosis can usually be accomplished with identification of typical symptoms in an adolescent or young adult with severe pharyngitis, fevers, and lymphadenopathy. Recognition is especially important in the athletically inclined for two main reasons. First, a confirmation of an IM diagnosis with Monospot test or EBV-specific serology will help clinicians offer reassuring advice regarding illness duration and effects upon sports performance. Second and perhaps most important, athletes diagnosed with IM should cease strenuous activities for at least 3 to 4 weeks to avoid rupture of an enlarged spleen. For those athletes participating in contact sports, or those who have an equivocal abdominal examination or who wish to return to sports in an earlier time frame (see Fig. 1), ultrasonagraphy should be the referee.

Original languageEnglish (US)
Pages (from-to)485-497
Number of pages13
JournalClinics in Sports Medicine
Issue number3
StatePublished - Jul 1 2004

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation


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