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Nowadays acute renal failure in burns is not a common occurrence, at least not when most of the wounds have already healed. We report a case of a 6-year-old child with 45 per cent flame burns, who suffered acute renal shutdown 43 days after burns when all except 1 per cent of the raw areas had already been grafted with autologous skin. There was no identifiable focus of infection and no evidence of septicemia. The patient was not receiving any nephrotoxic drugs. The child responded well to peritoneal dialysis and recovered fully.
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