Case Report Unusual Initial Presentation of Atypical Pneumonia in a Young Immunocompetent PatientTorres-Luna, Jonathan MD; del Olmo-Arroyo, Francisco MD; Mercader-Pérez, Mariana MD; Rodríguez-Cintrón, William MD, MACPInfectious Diseases in Clinical Practice: September 2019 - Volume 27 - Issue 5 - p 295–297 doi: 10.1097/IPC.0000000000000759 Case Reports Buy Abstract Author InformationAuthors Article MetricsMetrics Mycoplasma pneumoniae is a well-known cause of community-acquired respiratory tract infection, specifically in the childhood population, and represents approximately 15% of all community-acquired pneumonia cases. Mycoplasma pneumoniae is also known for its extrapulmonary manifestations, with cardiovascular presentation being one of the most common. Gastrointestinal manifestations of the disease have been described as well, and evidence stipulates that it could be the first presentation of a M. pneumoniae infection. In our case, a cholestatic pattern was documented initially prior to pulmonary manifestations. Reviewed literature described this presentation as a possible early presentation in patients, but predominant in the pediatric population. Evidence-based data reveal that there is only 1 case reported in the adult population with above gastrointestinal manifestation. From the Pulmonary and Critical Care Medicine, VA Caribbean Health Care System, San Juan, Puerto Rico. Correspondence to: William Rodríguez-Cintrón, MD, MACP, Pulmonary and Critical Care Medicine (111-E), VA Caribbean Health Care System, 10 Casia Street, San Juan, Puerto Rico 00921. E-mail: firstname.lastname@example.org. The authors have no conflict of interest to disclose. Online date: August 7, 2019 Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.