Abstract

Abstract Mycoplasma pneumoniae is a common atypical pathogen causing comunitary-acquired pneumonia (CAP), mostly in children and young adults with age between 5 and 40 years old. Beyond respiratory symptoms, extra-pulmonary features are described, such as skin rash, arthralgia, gastrointestinal symptoms, and heart disease, occurring in less than 5% to 10% of patients (1) . This case refers to a 26-year-old patient, without significant medical history or background treatment, immunocompetent, who is presenting to the emergency room for prolonged fever, and conjunctival suffusions. Following the investigations, pneumonia, and conjunctivitis due to atypical bacteria are suspected and appropriate treatment is administered. Along with other multiple infectious agents that could precipitate a respiratory febrile infection with ocular involvement, we should consider also Mycoplasma pneumoniae as a possible cause. Appropriate antibiotic therapy may result in a favorable, but delayed course of the disease.