The attacking midfielder was named in Gareth Southgate’s 26-man squad on Thursday and scored the opener for the Foxes away to West Ham United on Saturday.
But with just 25 minutes on the clock, the 25-year-old went down with what appeared to be a hamstring issue, forced off and replaced by Dennis Praet.
Maddison went straight down the tunnel for treatment after coming off.
Maddison had celebrated his England call up with a superbly taken goal at the London Stadium, lashing into the roof of the net inside eight minutes.
It took his tally to the season to seven goals in 14 appearances having also laid on four assists.
But the sight of the Leicester star forced off will come as huge concern for Southgate with England’s group opener against Iran now just nine days away.
Maddison has not played for his country since winning his only cap against Montenegro in 2019, believed to have been out of favour after visiting a casino after withdrawing from the England squad through illness later that year.
Southgate insisted however this week Maddison has earned his place in the squad.
He is a bit of a football student. I think there are some misconceptions about him,’ said Southgate.
‘I’ve always said it was football reasons for not selecting him and in the main the capabilities of others in the group and that’s the case. I’ve got no concerns about how he will be with the group.
‘He knows most of the lads, he has been in the junior teams with a lot of them so that isn’t a concern at all.’
MORE : Gareth Southgate insists James Maddison deserves his place in England Qatar squad
MORE : England boss Gareth Southgate explains U-turn over James Maddison’s World Cup inclusion
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