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Published Online First: 4 May 2007. doi:10.1136/bjsm.2007.035071
British Journal of Sports Medicine 2007;41:696-698
Copyright © 2007 BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine.

CASE REPORTS

Lung abscess in a professional rugby player: an illustration of overtraining syndrome?

Bernard H Castinel1, Philippe Adam1, Christophe Prat2, Pierre Mourlanette1

1 Clinique des Cèdres, Cornebarrieu, France
2 Stade Toulousain Rugby, Toulouse, France

Dr Bernard H Castinel, Clinique des Cèdres, 31700 Cornebarrieu, France; bcastinel{at}yahoo.fr

ABSTRACT

As in other endurance sports, the intensity of training sessions and the pace of competition has significantly increased since rugby union became a professional sport. The case history is presented of a professional rugby player who was diagnosed with septicaemia and a lung abscess following an infected wound to the ear. The symptoms only resolved after a large dose of antibiotics and 3 months of rest. It is hypothesised that this may be an example of overtraining syndrome, but complementary blood analyses would be necessary to confirm this. The case underlines the importance of clinically assessing the individual capacity of players to recover, in order to prevent overtraining and to maintain a high level of performance during the whole season.


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Commentary on "Lung abscess in a professional rugby player: an illustration of overtraining syndrome?"
David Gerrard
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