COVID-19-related ARDS in a young infant with uncontrolled HIV after delay in EID

With the description of the disease presentation and clinical course, we intend to underscore awareness regarding the possibility of delayed diagnosis of vertical HIV transmission after previous antiretroviral drug exposure. We also demonstrate the delay in prevention of vertical transmission due to COVID-19 related pandemic barriers, which underscores the need for continuation of preventive services under all circumstances. Furthermore, this is the first pediatric report describing severe COVID-19 associated morbidity during immunocompromise caused by HIV.