A 2-year-old, previously healthy boy presented with fatigue, decreased intake, dark urine, and rash for three days in the setting of recent asymptomatic SARS-CoV-2 infection (COVID-19 ) (PCR positive two months prior to this presentation). Laboratory tests showed leukocytosis, anemia, thrombocytosis, indirect hyperbilirubinemia, and elevated LDH (white blood cell count, 26.3K/uL; hemoglobin, 5.6 gm/L; platelet 578K/uL; indirect bilirubin, 3.3mg/dL; LDH, 2793 U/L). His peripheral smear demonstrated the following findings.