Abstract
Introduction: The new coronavirus has been responsible for the recent pandemic. It mainly affects adults; however, children of all ages, including neonates, may also be affected. The disease has shown different manifestations and symptoms so far. Case Presentation: The present study reported four neonates with COVID-19 admitted to the neonatal intensive care unit. All neonates had positive PCR results and suffered from pulmonary hemorrhage during hospitalization. Conclusions: The clinical symptoms, laboratory findings, and imaging findings were severe in neonates with COVID-19 and pulmonary hemorrhage, possibly related to surfactant damage and degradation.