Adult infection-related glomerulonephritis (IRGN) is associated with a wider spectrum of non-streptococcal agents. The organisms reported include staphylococcus and Gram-negative organisms like Klebsiella pneumoniae, Pseudomonas, and Acinetobacter. 1 The site of infection could be beyond the skin and upper respiratory tract, sometimes even occult. The primary source of infection should be searched for as an imperative. Different kidney lesions have been described in leprosy, including diffuse proliferative lesions, crescentic glomerulonephritis, membranous nephropathy, membranoproliferative nephropathy, interstitial nephritis, granulomata, secondary amyloidosis and pyelonephritis. 2 Hansen's disease with lepra reaction presenting with IgA dominant infection-related glomerulonephritis has also been reported.

Even though a small number of published single patient reports have more recently reported pulmonary cavitation in COVID-19 disease, it is still considered a rare radiology feature. We report a 45-year-old man with COVID 19 disease and a pulmonary cavity.