Abstract
This report presents a unique case of Meconium Aspiration Syndrome (MAS) in a neonate who developed transient hyperreactive airways syndrome (THAS), a rare complication marked by episodic bronchospasm and wheezing after MAS resolution. The patient, initially born in a private hospital in Guatemala and transferred to a community hospital due to financial constraints, improved with CPAP therapy but required bronchodilators for intermittent respiratory exacerbations. This case highlights the diverse manifestations of MAS and the need for careful monitoring of potential complications, particularly in resource-limited settings.