“…These include ascending polyneuritis, upper airway obstruction and splenic rupture, which is the most common cause of death 2 . Splenic rupture, although potentially fatal, is a treatable complication which usually occurs two to three weeks after the onset of the illness, although it may occur earlier, 5 as in this case, or up to ten weeks later 6 . Occasionally it is the presenting feature and the diagnosis of glandular fever is made in retrospect 7 …”