Extramedullary hematopoiesis (EMH) represents the production of blood cells outside of the bone marrow and occurs in beta thalassemia major. Although EMH usually occurs in the liver, spleen, and lymph nodes, it may also occur in the spinal canal or sacral bone lead to neurological complications

After a complete symptomatic recovery after COVID-19 pneumonia, the second phase of desaturation is a new phenomenon that is being increasingly observed. Two possible mechanisms behind it can be a continued subclinical infection and lung fibrosis. We have presented a case with the former mechanism, who responded well to steroids.