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We present a case of spontaneous, atraumatic splenic rupture secondary to Epstein-Barr virus (EBV) infection, in a young, female patient. Splenic rupture is a rare complication of EBV infection, but is associated with the highest mortality. Additionally this case illustrates the diagnostic challenge in a patient presenting in atypical manner, with only left-sided pleuritic chest pain, and lacking any of the classical tonsillitis symptoms associated with EBV infection.

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This page is a summary of: Spontaneous splenic rupture in a patient with infectious mononucleosis, BMJ Case Reports, September 2019, BMJ,
DOI: 10.1136/bcr-2019-230259.
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