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Infectious mononucleosis and the spleen.

James J Kinderknecht¹

¹Family and Community Medicine, University of Missouri at Columbia, 400 Keene Street, Columbia, MO 65201, USA. Kinderknechtj@health.missouri.edu

Current Sports Medicine Reports

|July 2, 2003

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Infectious mononucleosis, or "mono," is common in athletes. This overview helps manage the illness and guides safe return to play, focusing on symptoms and recovery time.

Area of Science:

Sports Medicine
Infectious Diseases
Public Health

Background:

Infectious mononucleosis (mono) is a prevalent condition affecting athletes.
Diagnosis relies on recognizing clinical signs like fever, swollen lymph nodes, sore throat, and enlarged spleen, alongside lab results.
Understanding the timeline of symptom and lab abnormality development is crucial.

Purpose of the Study:

To provide a comprehensive overview of infectious mononucleosis in athletes.
To review common complications and their management.
To present a practical strategy for determining athlete return-to-activity timelines.

Main Methods:

Literature review of infectious mononucleosis in the athletic population.
Analysis of clinical features, laboratory findings, and temporal disease progression.

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Examination of factors influencing return to play, including splenomegaly and illness duration.

Main Results:

Splenomegaly is a frequent finding, though splenic rupture is rare.
No splenic ruptures have been reported after three weeks of illness.
Return to activity is typically guided by the absence of splenomegaly and illness duration.

Conclusions:

Effective management of infectious mononucleosis in athletes requires understanding its clinical presentation and diagnostic criteria.
Complications should be recognized and managed promptly.
A structured approach to return-to-play decisions is essential for athlete safety.