eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2022-05-05 10 5 122 127 10.12691/ajmcr-10-5-2 AJMCR20221052 article Elli Novatcheva 1 Simranjit Randhawa 1 Aaron Safarian 2 Rocky Li 3 Chukwuemeka Umeh 3 Ryan Basak 3 Pranav Barve 3 Sumanta Chaudhuri 3 Sabina Kumar 3 Hemet Global Medical Center, Department of Internal Medicine, Hemet, CA, USA American University of Antigua College of Medicine, Saint Johns, AG Western University of Health Sciences College of Osteopathic Medicine of the Pacific, Pomona, CA, USA COVID-19 is primarily a pulmonary disease characterized by both pulmonary and extrapulmonary complications. While acute respiratory distress syndrome (ARDS) is the most common pulmonary complication, acute kidney injury is the most common extrapulmonary complication of acute COVID-19. In addition, COVID-19 is associated with a cytokine storm capable of stimulating an autoimmune disorder. Here we present an unusual case of P-ANCA associated vasculitis and diffuse, pauci-immune rapidly progressive glomerulonephritis in a 24-year-old COVID-19 patient, resulting in an (AKI) requiring hemodialysis. The patient improved clinically after starting hydrocortisone and rituximab. She was, however, still dependent on hemodialysis at the time of hospital discharge. http://pubs.sciepub.com/ajmcr/10/5/2/ajmcr-10-5-2.pdf SARS-CoV2 Vasculitis COVID-19 complications Pauci-Immune Glomerulonephritis