{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T05:28:14Z","timestamp":1788326894803,"version":"build-2803163510"},"reference-count":5,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,4,24]]},"abstract":"<jats:p>We present a case of an 80-year-old woman who presented with a dry cough, shortness of breath and general malaise. She had presented 5\u2005days previously with a sore throat, feeling feverish and with non-specific symptoms. Her background included paroxysmal atrial fibrillation and hypertension. She was initially thought to have decompensated heart failure secondary to atrial fibrillation and was initiated on diuretic therapy. However, a transthoracic echocardiogram performed revealed collapse of the right ventricle and a swinging heart, suggestive of cardiac tamponade. The patient underwent therapeutic pericardiocentesis where 700\u2005mL of exudative, blood-stained fluid was drained. Subsequent testing of the pericardial fluid revealed the presence of Epstein-Barr virus DNA. Serial follow-up transthoracic echocardiograms revealed resolution of the pericardial effusion and the patient remained asymptomatic.<\/jats:p>","DOI":"10.1136\/bcr-2015-209659","type":"journal-article","created":{"date-parts":[[2015,5,13]],"date-time":"2015-05-13T03:26:32Z","timestamp":1431487592000},"page":"bcr2015209659","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["An unusual presentation of cardiac tamponade associated with Epstein-Barr virus infection"],"prefix":"10.1136","volume":"2015","author":[{"given":"Kai Man Alexander","family":"Ho","sequence":"first","affiliation":[{"name":"Department of Care of Older People, The Whittington Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheena C","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Department of Care of Older People, The Whittington Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2015,5,13]]},"reference":[{"key":"2025082802012628000_2015.may12_2.bcr2015209659.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ehj.2004.02.002"},{"key":"2025082802012628000_2015.may12_2.bcr2015209659.2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM195307232490403"},{"key":"2025082802012628000_2015.may12_2.bcr2015209659.3","doi-asserted-by":"publisher","DOI":"10.5543\/tkda.2011.01312"},{"key":"2025082802012628000_2015.may12_2.bcr2015209659.4","doi-asserted-by":"publisher","DOI":"10.1055\/s-2001-17307"},{"key":"2025082802012628000_2015.may12_2.bcr2015209659.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejim.2005.09.006"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2015-209659","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:01:35Z","timestamp":1756371695000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2015-209659"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,5,13]]},"references-count":5,"alternative-id":["10.1136\/bcr-2015-209659"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2015-209659","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,5,13]]}}}