已入深夜,您辛苦了!由于当前在线用户较少,发布求助请尽量完整的填写文献信息,科研通机器人24小时在线,伴您度过漫漫科研夜!祝你早点完成任务,早点休息,好梦!

American Medical Society of Sports Medicine Position Statement: Mononucleosis and Athletic Participation

单核细胞增多症 医学 咽炎 运动员 立场声明 重症监护医学 家庭医学 免疫学 儿科 物理疗法 内科学 病毒
作者
Margot Putukian,Christopher A. McGrew,Holly J. Benjamin,Mary Kitazono Hammell,Calvin Hwang,Jeremiah W. Ray,Siobhan M. Statuta,Jillian E Sylvester,Kristina Wilson
出处
期刊:Clinical Journal of Sport Medicine [Ovid Technologies (Wolters Kluwer)]
卷期号:33 (4): 359-367 被引量:3
标识
DOI:10.1097/jsm.0000000000001161
摘要

Abstract: Infectious mononucleosis (IM) is a common illness in children and young adults caused primarily by the Epstein–Barr Virus (EBV). Transmission occurs primarily through sharing oral secretions, thus IM is known as the “kissing disease.” Common clinical manifestations include fever, pharyngitis, posterior cervical lymphadenopathy, and splenomegaly. Atypical lymphocytosis and transaminase elevations are common, and the diagnosis of IM is confirmed with laboratory findings of a positive heterophile antibody (“Monospot”), polymerase chain reaction, or antibodies specific to EBV. Individuals with acute IM may be quite symptomatic and not feel well enough to participate in sports. Splenic enlargement is common, with rupture a relatively rare occurrence, typically occurring within a month of symptom onset, but this risk complicates sports participation, and is often the reason for restricting activity. The management of IM is primarily supportive, with no role for antivirals or corticosteroids. The variability of clinical presentation and the risk of splenic rupture in patients with IM present clinicians with challenging return to play/return to sport (RTS) decisions. This position statement updates the Evidence-Based Subject Review on Mononucleosis by the American Medical Society for Sports Medicine published in 2008 and reviews the epidemiology, clinical manifestations, laboratory assessment, and management including RTS for the athlete with IM. This statement also addresses complications, imaging, special considerations, diversity and equity considerations, and areas for future clinical research. Understanding the evidence regarding IM and sport is essential when communicating with athletes and their families and incorporating shared decision-making in the RTS decision.

科研通智能强力驱动
Strongly Powered by AbleSci AI

祝大家在新的一年里科研腾飞
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
背后玉米完成签到,获得积分10
3秒前
SciGPT应助心灵美的电话采纳,获得20
8秒前
9秒前
Vivia完成签到,获得积分10
11秒前
背后玉米发布了新的文献求助10
12秒前
orixero应助wang5945采纳,获得10
14秒前
wynn发布了新的文献求助10
15秒前
Vivia发布了新的文献求助10
15秒前
17秒前
22秒前
wynn完成签到,获得积分20
24秒前
惑感完成签到 ,获得积分10
26秒前
欧耶欧椰完成签到 ,获得积分10
28秒前
匆匆完成签到 ,获得积分10
35秒前
Hcc完成签到 ,获得积分10
36秒前
香蕉觅云应助VDC采纳,获得10
40秒前
星流xx完成签到 ,获得积分10
45秒前
45秒前
碗在水中央完成签到 ,获得积分0
45秒前
47秒前
51秒前
123完成签到,获得积分20
51秒前
51秒前
whoami发布了新的文献求助20
51秒前
54秒前
VDC发布了新的文献求助10
56秒前
小枣完成签到 ,获得积分10
56秒前
orixero应助123采纳,获得10
56秒前
llx发布了新的文献求助10
57秒前
以琳发布了新的文献求助10
59秒前
耶格尔完成签到 ,获得积分10
59秒前
嘉子完成签到 ,获得积分10
1分钟前
舟舟完成签到 ,获得积分10
1分钟前
yuqinghui98完成签到 ,获得积分10
1分钟前
1分钟前
VDC发布了新的文献求助100
1分钟前
所所应助科研通管家采纳,获得10
1分钟前
赘婿应助xie采纳,获得10
1分钟前
SC完成签到,获得积分10
1分钟前
哈哈完成签到 ,获得积分10
1分钟前
高分求助中
Востребованный временем 2500
诺贝尔奖与生命科学 2000
Les Mantodea de Guyane 1000
Aspects of Babylonian celestial divination: the lunar eclipse tablets of Enūma Anu Enlil 1000
Very-high-order BVD Schemes Using β-variable THINC Method 910
The Three Stars Each: The Astrolabes and Related Texts 500
Separation and Purification of Oligochitosan Based on Precipitation with Bis(2-ethylhexyl) Phosphate Anion, Re-Dissolution, and Re-Precipitation as the Hydrochloride Salt 500
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 物理化学 催化作用 细胞生物学 免疫学 冶金
热门帖子
关注 科研通微信公众号,转发送积分 3381102
求助须知:如何正确求助?哪些是违规求助? 2996152
关于积分的说明 8767544
捐赠科研通 2681333
什么是DOI,文献DOI怎么找? 1468493
科研通“疑难数据库(出版商)”最低求助积分说明 679009
邀请新用户注册赠送积分活动 671103