Thapa, JKoirala, PGupta, TN2025-11-202025-11-202018https://hdl.handle.net/20.500.14572/3196Thapa J, Koirala P, Gupta TN Department of Nephrology National Academy of Medical Sciences, Bir Hospital, Kathmandu, NepalABSTRACT We report a 37 year female patient, admitted with complains of fever, jaundice and myalgia of seven days. There was no history of trauma, drug abuse, seizure or vigorous exercise nor history of renal and musculoskeletal disease. Here we have discussed the clinical features, biochemical derangements, diagnosis of coxsackie B virus, multi organ involvement and need of urgent hemodialysis for appropriate management of the case. KEY WORDS Acute renal failure, Coxsackie B, Hemodialysis, Hepatitisen-USAcute renal failureCoxsackie BHemodialysisHepatitisArticle