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. 2021 Mar 11;12:613019. doi: 10.3389/fphys.2021.613019

TABLE 1.

Summary of the type of reported kidney involvement during SARS-CoV-2 infection according to the underlying site of kidney damage.

Renal involvement Features Underlying condition References Commentaries
Prerenal azotemia AKI Signs of ECV decrease FeNa <1% RBF decrease Favorable outcome after volume repletion Hemodynamic changes Hypovolemia Venous congestion Mechanical ventilation Chand et al., 2020,Xia et al., 2020,Watchorn et al., 2020,Mohamed et al., 2020
Tubular AKI Low-range proteinuria Low molecular weight proteinuria ±Hypouricemia ±Hypophosphatemia ±Aminoaciduria Ischemic ATI Sepsis-associated ATI Rhabdomyolysis Werion et al., 2020,Kormann et al., 2020,Mohamed et al., 2020,Kudose et al., 2020,Santoriello et al., 2020,Sharma et al., 2020 No direct identification of SARS-CoV-2 (ISH, IHC, and PCR) (Unspecific microvesicular bodies on electron microscopy)
Glomerular AKI Nephrotic-range proteinuria Albuminuria ±Hematuria Collapsing glomerulopathy Membranous nephropathy Minimal change disease Anti-GBM GN Pauci-immune crescentic GN Chronic glomerulosclerosis Kudose et al., 2020,Santoriello et al., 2020,Sharma et al., 2020,Wu et al., 2020,Gaillard et al., 2020 APOL-1 variant–associated collapsing glomerulopathy Role of interferon?
Vascular AKI Hematuria ±Low-range proteinuria Severe COVID-19 Microvascular 6 cases of TMA Focal fibrin thrombi in 6/42 Macrovascular 2 cases of renal infarction Chronic vascular lesions Jhaveri et al., 2020,Akilesh et al., 2020,Santoriello et al., 2020,Post et al., 2020 Evidence of complement activation in one case of TMA Evidence of multiple thrombosis in one case of renal infarction

In bold the most frequently reported lesions. AKI, acute kidney injury; ECV, extracellular volume; ATI, acute tubular injury; ISH, in situ hybridization; IHC, immunohistochemistry; GBM, glomerular basal membrane; GN, glomerulonephritis; TMA, thrombotic microangiopathy.