KANSAS CITY, Mo. — Red Sox second baseman Dustin Pedroia was out of the starting lineup for Monday's series opener against the Royals after getting hit by a pitch in Houston that caused him to spit up blood.

Pedroia was hit in the left ribcage by a 92 mph fastball from James Hoyt in the seventh inning Sunday. He played two more innings in the field before leaving the game and getting X-rays that came back negative.

He had an MRI exam Monday that confirmed Pedroia did not fracture any ribs.

Red Sox manager John Farrell said Pedroia is day to day, but it's unlikely he will play before the series finale Wednesday. He was replaced by Josh Rutledge in the lineup against Kansas City.

Pedroia is hitting .296 with two homers and 25 RBIs this season.

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