Sudden Cardiopulmonary Arrest in a Neonate Eight Days After Being Infected With SARS-CoV-2.

COVID-19 infection typically presents with mild symptoms in pediatric patients; however, rare but serious complications can occur, including fatal outcomes. This case report describes the clinical course and autopsy findings of a one-month-old female infant who initially presented with fever and bloody stools and subsequently developed severe coagulopathy and hemorrhage associated with COVID-19. The infant experienced cardiopulmonary arrest and succumbed to irreversible global brain dysfunction despite intensive care. Autopsy revealed significant intramyocardial hemorrhage and fibrinoid degeneration in the coronary arteries and intestinal microvasculature, underscoring the potential for severe vascular complications in infants with COVID-19. These findings highlight the importance of considering systemic involvement and potential coagulopathies in the management of pediatric COVID-19 cases.