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Hi there,
If mononucleosis is cause by Epstein-Barr virus, it can cause the spleen to get enlarged. If the spleen ruptures you experience a sharp and sudden pain in the upper-left side of the abdomen. You have to know if the spleen has ruptured your daughter would need an immediate surgery. You have to know that in younger children EBV test can show false negative results and sometimes it is necessary to undergo for more antibody test.
Have you got the results from the first tests? You also mention pulled muscle. How long is she experiencing pain? Pulled muscle should be good in few days without any bigger treatment. And this should not be as big problem as Epstein-Barr virus.
Best regards,
Danella
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