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We describe the first death in Libya from coronavirus disease 2019 (COVID-19) presenting as acute kidney failure in an 86-year-old woman in Tripoli with no recent travel history. She had a history of type 2 diabetes mellitus and human immunodeficiency virus (HIV) infection, for which she reported non-compliance with treatment. On 15 March 2020, she was diagnosed with lobar pneumonia and her condition did not improve. On 30 March she presented to Tripoli University Hospital Emergency Department with a cough, temperature of 39°C, respira