Cardiovascular Journal of Africa

Association between Epstein-Barr Virus viremia and cardiac function in children and young adults with perinatally acquired HIV

Samantha F. Curtis, Andrew W. McCrary, Ibrahim Daud, Myra Mahasi, Nathan M. Thielman, Gerald S. Bloomfield, Winstone Nyandiko
Abstract
Introduction: Epstein-Barr virus (EBV) affects greater than 95% of the global population, and when acquired at an early age, results in poor control of viral replication and increased risk to subsequent chronic illnesses.
Objective: To analyse the association between EBV and early cardiac dysfunction.
Methods: A cross-sectional echocardiographic study on children, adolescent and young adults living with human immunodeficiency virus (HIV) in Eldoret, Kenya. We collected echocardiograms, viral copy levels, and inflammatory markers. We compared EBV-positive participants to EBV-negative participants.
Results: The majority of patients with EBV copies detected were male, median (25–75%) age of 15 (11–19) years and did not have signs of early cardiac dysfunction. No significant differences were observed in cardiac function between individuals with detectable and undetectable EBV copies (p = 0.472; p = 0.6140; p = 0.382 respectively).
Conclusion: In this population of individuals, no significant difference in cardiac function between individuals with detectable and undetectable EBV copies was observed.
Submitted: October 1, 2024; Accepted: December 2, 2025; Published: May 8, 2026
Cardiovasc J Afr 2025; 37: 173-178
Volume 37, Issue 2
DOI Citation Reference: dx.doi.org/10.5830/CVJA-2025-109
Department of Internal Medicine-Pediatrics, Duke University Medical Center, Durham, NC, USA
Samantha F. Curtis

Division of Pediatric Cardiology, Department of Pediatrics, Duke University Medical Center, Durham, NC, USA
Andrew W. McCrary

Hubert-Yeargan Center for Global Health, Duke Global Health Institute, Durham, NC USA
Andrew W. McCrary
Nathan M. Thielman
Gerald S. Bloomfield

United States Army Medical Research Directorate-Africa, Kenya (MRD-A/K) and HJF Medical Research International
Ibrahim Daud

Department of Children Health and Paediatrics, Moi University College of Health Science, Eldoret, Kenya
Myra Mahasi
Winstone Nyandiko

Academic Model Providing Access to Healthcare, Eldoret, Kenya
Myra Mahasi
Winstone Nyandiko

Duke Clinical Research Institute, Durham, NC, USA
Nathan M. Thielman
Gerald S. Bloomfield

Division of Infectious Diseases, Department of Medicine, Duke University Medical Center, Durham, NC, USA
Nathan M. Thielman

Division of Cardiology, Department of Medicine, Duke University Medical Center, Durham, NC, USA
Gerald S. Bloomfield

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