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England bowler Brydon Carse is expected to be unavailable for the Champions Trophy encounter against Afghanistan on Wednesday and may also miss the remainder of the tournament.
The 29-year-old has been dealing with a blister on a toe on his left foot, which flared up again during Saturday's loss to Australia.
He faced challenges with this injury, ending with figures of 1-69 from seven overs.
Jamie Overton is the most likely candidate to step in for Carse against Afghanistan, a team England must defeat to ensure progression.
Should Carse be sidelined for the tournament, England is permitted to call in a replacement; however, there are no traveling reserves accompanying the squad in Pakistan.
Rehan Ahmed, a leg-spinner, was part of the squad in India. If he is called up, it would provide England with a second primary spin option alongside Adil Rashid for Saturday's match against South Africa.
England's pace bowlers collectively took 3-226 over 26.3 overs in the game against Australia.
If England successfully escapes Group B, they would likely encounter India in Dubai, a venue where spin bowling has been pivotal.
Carse was selected for the Champions Trophy despite missing the final two ODIs during England's tour of India earlier this month due to the toe injury.
The injury had required stitches, which were taken out shortly before the commencement of the tournament.
"We will have to wait and see," England batsman Joe Root conveyed to the BBC in Lahore.
"There is still a fair amount of time until the match to determine exactly what is going on with Carsey. We will observe how things develop over the next few days."
Carse has made a notable impression for England this winter after debuting in Test cricket against Pakistan in October.
He has secured a £100,000 contract to play for Sunrisers Hyderabad in the Indian Premier League, which starts next month.
Root mentioned that a boycott would not yield a beneficial outcome.
Afghanistan, like England, has also yet to win in Group B after their opening loss to South Africa. The team that faces defeat is likely to be eliminated from the tournament.
There have been discussions regarding whether England should withdraw from the match due to the Taliban's treatment of women's rights in Afghanistan.
The England and Wales Cricket Board (ECB) has urged the International Cricket Council (ICC) to take stronger actions but confirmed earlier this month that the match will take place.
Root reiterated their stance that a boycott would not result in a "positive impact."
"Clearly, there are issues there that are difficult to witness and read about, but cricket brings such happiness to so many people," Root stated.
"For many individuals in Afghanistan, it represents a chance to celebrate - cricket provides them with hope and joy. Hopefully, the two teams can contribute to that in the upcoming match."
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