INTRODUCTION
Recreational drug use and its overdose is increasing exponentially in the United States1. One of the commonly abused drugs, MDMA, is a party drug among adolescents and young adults in so-called ’raves2. MDMA has a varying range of toxicities ranging from irritability, muscle cramps, and chills to life-threatening conditions such as Disseminated Intravascular coagulation, hyperthermia, rhabdomyolysis and AKI.3 Rhabdomyolysis has been reported to be caused by several drugs with MDMA being one of the major contributors4. Several cases have been reported of mortality due to AKI and hyperkalemia caused by rhabdomyolysis and hyperkalemia in acute settings.5 However, delayed rhabdomyolysis has not been reported widely. We present one such case of delayed onset AKI due to rhabdomyolysis.