SARS-CoV-2 infection induces acute tubular necrosis through direct cytotoxicity and in immune mediated damage [62,63]. Light microscopy: acute renal proximal tubule injury. Immunohistochemistry: viral nucleocapsid protein into the renal tubular cells of the infected tissues. Transmission electron microscopy: viral inclusion bodies in a peritubular space and viral particles in endothelial cells of the glomerular capillary loops.