A case report of acute kidney injury following the use of herbal vaginal pessary

The demand and use of complementary and alternative medicine (CAM) is on the increase in many countries. Majority of the population using these herbal medicines are ignorant of their potential toxicities. We present an uncommon case of a 22 year old female who developed oliguric AKI following the use of herbal vaginal pessary. She was managed with haemodialysis and had complete renal recovery. This case highlights the potential nephrotoxicity of some herbal medication even when used locally and the urgent need to regulate CAM practice.