Histology and immunohistochemistry of the heart tissue of a COVID-19 patient with myocarditis. Photo (A) shows inflammatory cells (blue arrow) in edematous myocardial endomysium and the foci of myophagocytosis (red arrow) (HE, 200×). In Photo (B), immunohistochemically CD68-positive macrophages are present in the myocardium, being active in myophagocytosis (arrow), (DAB, 200×). Photo (C) shows immunohistochemically brown-stained CD3-positive T lymphocytes in the endomysium (DAB, 100×). Photo (D) shows an immunohistochemically positive reaction for MPO of PMNs in myocardial blood vessels and their spread in perivascular space (arrows), (DAB, 400×).