But there remains optimism the Arsenal midfielder can shake off the effects of an illness to play on Wednesday.

Rice, who suffered with a sickness bug in the lead-up to Saturday's quarter-final victory over Norway in Miami, was substituted at half-time.

Head coach Thomas Tuchel admitted afterwards that Rice had spent three days in bed before the match, which England won 2-1 after extra time.

It is understood Rice still has not recovered fully from the illness - picked up in Mexico, where England beat the co-hosts 3-2 in the last 16 - but his condition has improved markedly over the past 48 hours.

As things stand, there is growing hope he will be well enough to start in Atlanta.

Rice is almost certain to rule himself fit for the semi-final given the enormity of the occasion.

But given the severity of the illness, England medics are set to make a late call on his availability.

And Tuchel will wait to see how rapidly his condition improves before making a final decision on whether to pick him.

In addition to his recovery from the sickness bug, Rice has also been carrying a neural problem for several months, affecting his lower back and hamstring.

The midfielder, who has 78 caps, has started all but one of England's World Cup games so far, missing the 2-0 group-stage win over Panama because of an injury flare-up.

 

Ismail Elfath sent off Uruguay midfielder Agustin Canobbio in stoppage time defeat against Spain