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The mycoplasma antibody test came positive with very high titres, while rest of the workup was negative. He was treated with azithromycin and his symptoms improved completely.<\/jats:p>\n                  <jats:p>He was asymptomatic on follow-up after a month. His repeat immunoglobulin G mycoplasma antibody titre showed elevation. Mycoplasma infection is a treatable cause of meningoencephalitis and stroke secondary to vasculitis. Arterial aneurysms are known to occur with mycoplasma infection although rare.<\/jats:p>","DOI":"10.1136\/bcr-2017-221831","type":"journal-article","created":{"date-parts":[[2018,1,11]],"date-time":"2018-01-11T04:58:57Z","timestamp":1515646737000},"page":"bcr-2017-221831","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":17,"title":["<i>Mycoplasma pneumoniae<\/i>\n                    infection presenting as stroke and meningoencephalitis with aortic and subclavian aneurysms without pulmonary involvement"],"prefix":"10.1136","volume":"2018","author":[{"given":"Pournamy","family":"Sarathchandran","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abubaker","family":"Al Madani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayman M","family":"Alboudi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jihad","family":"Inshasi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,1,11]]},"reference":[{"key":"2025042702293356000_2018.jan11_1.bcr-2017-221831.1","first-page":"647","article-title":"Mycoplasma pneumoniae infection with neurologic complications","volume":"24","author":"Yimenicio\u011flu","year":"2014","journal-title":"Iran J Pediatr"},{"key":"2025042702293356000_2018.jan11_1.bcr-2017-221831.2","doi-asserted-by":"publisher","DOI":"10.1086\/318446"},{"key":"2025042702293356000_2018.jan11_1.bcr-2017-221831.3","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1945.00210330017004"},{"key":"2025042702293356000_2018.jan11_1.bcr-2017-221831.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.pediatrneurol.2009.04.012"},{"key":"2025042702293356000_2018.jan11_1.bcr-2017-221831.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.lab.2005.04.006"},{"key":"2025042702293356000_2018.jan11_1.bcr-2017-221831.6","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1956.00250190109010"},{"key":"2025042702293356000_2018.jan11_1.bcr-2017-221831.7","doi-asserted-by":"crossref","first-page":"1152","DOI":"10.1016\/S0140-6736(87)91586-8","article-title":"Stroke due to intravascular coagulation in Mycoplasma pneumoniae infection","volume":"2","author":"Mulder","year":"1987","journal-title":"Lancet"},{"key":"2025042702293356000_2018.jan11_1.bcr-2017-221831.8","doi-asserted-by":"crossref","first-page":"1430","DOI":"10.1212\/WNL.37.8.1430","article-title":"Stroke in a young adult with Mycoplasma pneumoniae infection complicated by intravascular coagulation","volume":"37","author":"Mulder","year":"1987","journal-title":"Neurology"},{"key":"2025042702293356000_2018.jan11_1.bcr-2017-221831.9","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-510X(98)00074-4"},{"key":"2025042702293356000_2018.jan11_1.bcr-2017-221831.10","doi-asserted-by":"publisher","DOI":"10.1086\/323461"},{"key":"2025042702293356000_2018.jan11_1.bcr-2017-221831.11","doi-asserted-by":"publisher","DOI":"10.1177\/088307380201700115"},{"key":"2025042702293356000_2018.jan11_1.bcr-2017-221831.12","doi-asserted-by":"publisher","DOI":"10.1080\/00365540110077452"},{"key":"2025042702293356000_2018.jan11_1.bcr-2017-221831.13","doi-asserted-by":"publisher","DOI":"10.1097\/01.inf.0000177284.88356.56"},{"key":"2025042702293356000_2018.jan11_1.bcr-2017-221831.14","first-page":"166","article-title":"Internal carotid artery occlusion associated with Mycoplasma pneumoniae infection in a child","volume":"48","author":"Tanir","year":"2006","journal-title":"Turk J Pediatr"},{"key":"2025042702293356000_2018.jan11_1.bcr-2017-221831.15","first-page":"946","article-title":"[Mycoplasma pneumonia associated with cerebral infarction in 3 children]","volume":"47","author":"Wang","year":"2009","journal-title":"Zhonghua Er Ke Za Zhi"},{"key":"2025042702293356000_2018.jan11_1.bcr-2017-221831.16","doi-asserted-by":"publisher","DOI":"10.1093\/tropej\/fmn115"},{"key":"2025042702293356000_2018.jan11_1.bcr-2017-221831.17","doi-asserted-by":"publisher","DOI":"10.3345\/kjp.2013.56.9.411"},{"key":"2025042702293356000_2018.jan11_1.bcr-2017-221831.18","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1002\/ppul.22552","article-title":"Severe Mycoplasma pneumoniae infection requiring extracorporeal membrane oxygenation with concomitant ischemic stroke in a child","volume":"48","author":"Garcia","year":"2013","journal-title":"Pediatr Pulmonol"},{"key":"2025042702293356000_2018.jan11_1.bcr-2017-221831.19","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.110.608075"},{"key":"2025042702293356000_2018.jan11_1.bcr-2017-221831.20","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.27.11.2005"},{"key":"2025042702293356000_2018.jan11_1.bcr-2017-221831.21","first-page":"382","article-title":"Mycoplasma-like structures in granulomatous angiitis of the central nervous system. 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