A Case of Acute Polyarthritis With a Suspected Association to Mycoplasma Infection Without Extrapulmonary Manifestations

Mycoplasma pneumonia, an atypical pneumonia that commonly causes community-acquired pneumonia, can induce extrapulmonary manifestations at different sites, such as the central nervous system, skin, and gastrointestinal tract. These extrapulmonary manifestations can present without respiratory symptoms, making the diagnosis challenging. Herein, we report the case of a 26-year-old woman who presented with polyarthritis following fever and gastrointestinal symptoms. At the time of examination, mycoplasma pneumonia had spread in the community, which led to the diagnosis. Her polyarthritis improved one week after the administration of an antibiotic and a non-steroidal anti-inflammatory drug. Understanding the prevalence of infectious diseases in the community can help in the diagnosis of uncommon presentations based on symptoms, such as the acute onset of polyarthritis, that may be caused by an infectious disease.

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Publication Details

Journal
Cureus
Published
2026-02-05
DOI
https://doi.org/10.7759/cureus.103040
Primary Topic
Pneumonia and Respiratory Infections
Type
article
Field-Weighted Citation Impact
0.00
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article

A Case of Acute Polyarthritis With a Suspected Association to Mycoplasma Infection Without Extrapulmonary Manifestations

Hirotaka Muramatsu, Yuta Yoshino
Cureus
Pneumonia and Respiratory Infections
article

A Case of Acute Polyarthritis With a Suspected Association to Mycoplasma Infection Without Extrapulmonary Manifestations

Hirotaka Muramatsu, Yuta Yoshino
article en

Abstract

Mycoplasma pneumonia, an atypical pneumonia that commonly causes community-acquired pneumonia, can induce extrapulmonary manifestations at different sites, such as the central nervous system, skin, and gastrointestinal tract. These extrapulmonary manifestations can present without respiratory symptoms, making the diagnosis challenging. Herein, we report the case of a 26-year-old woman who presented with polyarthritis following fever and gastrointestinal symptoms. At the time of examination, mycoplasma pneumonia had spread in the community, which led to the diagnosis. Her polyarthritis improved one week after the administration of an antibiotic and a non-steroidal anti-inflammatory drug. Understanding the prevalence of infectious diseases in the community can help in the diagnosis of uncommon presentations based on symptoms, such as the acute onset of polyarthritis, that may be caused by an infectious disease.

CureusVol. 18(2)
Jichi Medical University (JP), Jichi Medical University Saitama Medical Center (JP), Saitama Medical University (JP)
Good health and well-being
Openalex Percentile: Top 64%
Pneumonia and Respiratory Infections
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