According to the textbook, Understanding Pathophysiology, “The incubation period for IM is approximately 30 to 50 days (Huether & McCance, 2012).” Complications of the IM include: Enlargement of spleen or liver issues. With the enlargement of the spleen, it can rupture, causing sharp, sudden pain in the left side of the upper abdomen. This occurs mainly in males about 90% of the time (Huether & McCance, 2012). If this occurs, you need to seek medical attention immediately because of this physical exercise should be low and nonaggressive. Liver issues can include hepatitis, or mild liver inflammation, or jaundice, a yellowing of the skin and the whites of your eyes (Mayo Clinic Staff,