“Doctors say Evan Murray died from massive internal bleeding and his death has raised new questions about the safety of football.”
“A seemingly healthy three-sport star athlete, Murray, of Warren Hills Regional High School, died after he was hurt in a game Friday night. The coroner says the hit cut Murray’s spleen that doctors say was already “abnormally enlarged, making it more susceptible to injury.”
“His death is raising concerns for parents and students. Dr. Patrick Kersey from the St. Vincent Sports Performance Center is also the medical director for USA Football. He says what happened in New Jersey is very rare, especially to young men and women.”
An enlarged spleen, which can be caused by a virus or other illness, predisposes spleen traumatic ruptures.
[N.J. quarterback’s death raises concerns over football safety by Joe Melillo Sept 30, 2015, WISH-TV.com]
Athletes, who are ill or severely injured and manifest signs and symptoms of illness and severe injury, should never participate in sports at the time. They should be examined by a physician or competent health care personal and thereafter be released to participate.
“An enlarged spleen can be caused by infections, cirrhosis and other liver diseases, blood diseases characterized by abnormal blood cells, problems with the lymph system, or other conditions.
Viral infections, such as mononucleosis
Parasitic infections, such as toxoplasmosis
Bacterial infections, such as endocarditis (an infection of your heart’s valves)
Leukemia, a cancer in which white blood cells displace normal blood cells
Lymphoma, a cancer of lymph tissue, such as Hodgkin’s disease
Other causes of an enlarged spleen include:
Inflammatory diseases such as sarcoidosis and rheumatoid arthritis
Trauma, such as an injury during contact sports
Cancer that has spread (metastasized) to the spleen
A cyst, a noncancerous fluid-filled sac
A large abscess, a pus-filled cavity usually caused by a bacterial infection
Infiltrative diseases such as Gaucher’s disease, amyloidosis, or glycogen storage diseases”