Introduction
During the SARS CoV-2 pandemic, the majority of pediatric cases presented with lung involvement as the main disease, with the severity of symptoms ranging from mild pneumonia to severe lung injury and ARDS. Emerging studies found that some patients may experience uncommon complications, such as thrombotic or hemorrhagic episodes1. Cases of pulmonary hemorrhage have been reported in adults with COVID 19 infection; however, reports about similar presentations in pediatrics are rare. We present a case of a 3-week-old neonate with COVID -19 infection and no other underlying comorbidities who had a fatal pulmonary hemorrhage. Our case report demonstrates the unusual presentation of COVID-19 infection in neonates and presents the challenges associated with it.