Introduction:

SARS Cov2 infection in children has a clinical evolution not as severe as in adults and therefore lower mortality. This infection can affect neonates and they can acquire the infection by horizontal transmission, with variable clinical manifestations. Although the neonate born to a mother positive for SARS-CoV 2 has been the one with the greatest focus of attention, other neonates can acquire the infection from positive cases at home, symptomatic or not.

Case report:

A 22-day-old, previously healthy newborn with systemic manifestations such as fever, mild respiratory symptoms and frequent liquid stools, without mucus or blood. No history of infections in the family. The treatment was symptomatic, with acetaminophen, intravenous fluids and with good evolution. Laboratories were nonspecific, and the study for SARS Cov2 was realized due to the current pandemic. The report was positive and the family refused to carry out tests.

Discussion:

Neonatal SARS CoV2 infection has been associated with symptoms such as fever, mild respiratory and gastrointestinal symptoms, usually with a positive notion of contagion from symptomatic or asymptomatic people, that can be underestimated.. It is possible that the diagnosis in a neonate could be the alarm on asymptomatic adults. Currently, due to the reported cases and the SARS CoV2 pandemic, newborns with fever and other systemic symptoms should be tested in the neonatal period. On the other hand, perform a follow-up of affected newborns.