{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T16:10:09Z","timestamp":1773850209129,"version":"3.50.1"},"reference-count":10,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2015,3,25]],"date-time":"2015-03-25T00:00:00Z","timestamp":1427241600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2015,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Chronic active Epstein\u2013Barr virus (<jats:styled-content style=\"fixed-case\">EBV<\/jats:styled-content>) infection (<jats:styled-content style=\"fixed-case\">CAEBV<\/jats:styled-content>), characterized by persistent infectious mononucleosis\u2010like symptoms, can lead to cardiovascular complications including coronary artery aneurysm or myocarditis. Here, we present the case of an 11\u2010year\u2010old boy with pulmonary arterial hypertension (<jats:styled-content style=\"fixed-case\">PAH<\/jats:styled-content>) and junctional ectopic tachycardia associated with <jats:styled-content style=\"fixed-case\">CAEBV<\/jats:styled-content>. The patient did not have any major symptoms attributed to <jats:styled-content style=\"fixed-case\">CAEBV<\/jats:styled-content>, such as fever, lymphadenopathy or splenomegaly when the <jats:styled-content style=\"fixed-case\">PAH<\/jats:styled-content> developed. Mild liver dysfunction was found at the first examination, and it persisted. Two years after the <jats:styled-content style=\"fixed-case\">PAH<\/jats:styled-content> symptoms appeared, <jats:styled-content style=\"fixed-case\">CAEBV<\/jats:styled-content> was evident, based on deteriorated liver function, hepatosplenomegaly, and coronary artery aneurysms. <jats:styled-content style=\"fixed-case\">CAEBV<\/jats:styled-content> should be considered as a cause of secondary <jats:styled-content style=\"fixed-case\">PAH<\/jats:styled-content>, particularly when liver dysfunction coexists.<\/jats:p>","DOI":"10.1111\/ped.12578","type":"journal-article","created":{"date-parts":[[2015,3,26]],"date-time":"2015-03-26T03:50:02Z","timestamp":1427341802000},"page":"731-734","source":"Crossref","is-referenced-by-count":13,"title":["Pulmonary arterial hypertension associated with chronic active Epstein\u2013Barr virus infection"],"prefix":"10.1111","volume":"57","author":[{"given":"Yutaka","family":"Fukuda","sequence":"first","affiliation":[{"name":"Department of Pediatrics Takeda General Hospital  Fukushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuo","family":"Momoi","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Fukushima Medical University  Fukushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitsuko","family":"Akaihata","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Takeda General Hospital  Fukushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katsutoshi","family":"Nagasawa","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Takeda General Hospital  Fukushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masaki","family":"Mitomo","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Fukushima Medical University  Fukushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshimichi","family":"Aoyagi","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Fukushima Medical University  Fukushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kisei","family":"Endoh","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Fukushima Medical University  Fukushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitsuaki","family":"Hosoya","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Fukushima Medical University  Fukushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,3,25]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/rmv.505"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1182\/blood.V98.2.280"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/333455a0"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1086\/367988"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.1995.tb13547.x"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-008-9343-8"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.50.4143"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00043426-200301000-00018"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2249.2007.03584.x"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2013.10.029"}],"container-title":["Pediatrics International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fped.12578","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ped.12578","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,29]],"date-time":"2023-09-29T10:50:08Z","timestamp":1695984608000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ped.12578"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,3,25]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2015,8]]}},"alternative-id":["10.1111\/ped.12578"],"URL":"https:\/\/doi.org\/10.1111\/ped.12578","archive":["Portico"],"relation":{},"ISSN":["1328-8067","1442-200X"],"issn-type":[{"value":"1328-8067","type":"print"},{"value":"1442-200X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,3,25]]}}}