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Sow, Rennes takımının altyapısında futbola devam ederken 23 Ekim 2004 tarihinde Metz karşısında kariyerindeki ilk maçına çıktı. Kariyerindeki ilk golünü ise 24 Ekim 2006 tarihinde Fransa Lig Kupası “Son 16” turunda 2-0 kazandıkları maçta Lille karşısında attı. Sow, 2007-08 sezonunda Rennes tarafından Sedan’a 1 yıllığına kiralandı. Sow, Sedan forması altındaki ilk maçına 17 Eylül 2007 tarihinde 2-1 kaybettikleri maçta Nantes karşısında çıkarken, ilk lig ve Ligue 2 golünü ise 9 Kasım 2007 tarihinde 3-1 kaybettikleri maçta Bastia karşısında takımının tek golünü attı. Sow, o sezon Sedan’ın Fransa Kupası’nda yarı finale yükselmesinde büyük pay sahibi oldu. Sow, Sedan takımında kiralık olarak oynadığı süre zarfında 30 maçta 6 gol kaydetti. Sow, Rennes’e döndükten sonra ilk Ligue 1 golünü 24 Ağustos 2008 tarihinde 2-1 kazandıkları maçta Lille karşısında maçın 90+4′ dk.’sında attı. Sow, Rennes’te ise formasını giydiği süre boyunca oynadığı 82 maçta 12 gol kaydetti. Sow, sonra 28 Haziran 2010 tarihinde Rennes’den Lille takımına transfer oldu ve 3 yıllık sözleşme imzaladı. Lille forması altındaki ilk sezonunda attığı 25 golle Ligue 1’in gol kralı oldu ve Avrupa’nın büyük takımlarının transfer listesine girmeyi başardı.

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