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.