Introduction:
Coronavirus disease 2019 (COVID-19) is an
infectious
disease caused by
severe
acute respiratory syndrome coronavirus 2 (SARS-CoV-2)[1], The
disease was first described in December 2019, after a series of
unexplained pneumonia cases were reported in Wuhan, Hubei Province,
China in December 2019.Full-genome sequencing and analysis indicated
that the coronavirus that causes COVID-19 is a betacoronavirus in the
same subgenus as the severe acute respiratory syndrome (SARS) virus as
well as several bat coronaviruses[2].
Since the beginning of this disease it was spreading rapidly and by the
end of April 2020 it was affecting 210 countries around the world as per
WHO with total number of cases Exceeded 3 million with more than 200
thousands deaths [3], Most of the cases presented with symptoms like
fever, cough, general fatigue an myalgia, however some case presented
with symptoms related to the gastrointestinal system such as nausea,
vomiting and diarrhea. Previously reported cases of CML described
patients with CML in different phases infected with COVID 19 however our
case is unique since he presented with respiratory symptoms and work up
of leukocytosis revealed CML, up to our knowledge this the first case of
CML presenting with COVID 19 infection as initial presentation.