Duarte, TCaeiro, FGóis, MMatos, AViana, HVieira, CPaulos, JPaixão, PMatos, BGermano, NNolasco, F2021-11-162021-11-162021Port J Nephrol Hypert 2021;35(3):192-195http://hdl.handle.net/10400.17/3910SARS-Cov2 infection is a highly transmissible disease associated with serious pulmonary disease. Renal involvement is frequent and associated with poor prognosis; however, mechanisms of kidney injury are not well established. We present a SARS-Cov2 patient with severe acute kidney injury. Kidney biopsy findings revealed a pattern of acute tubular necrosis with isometric vacuolization of the proximal tubule. The interstitium and glomeruli were normal. Electronic microscopy showed multiple viral-like particles in both the glomeruli and proximal tubule. This case study shows how SARS-Cov 2 infection can result in different kinds of kidney lesion.engHCC UCIHCC NEFHCC ANPATAcute Kidney InjuryCOVID-19Kidney Biopsyjournal article10.32932/pjnh.2021.10.146