Acute kidney injury, defined by a significant reduction in glomerular filtration rate (GFR) over a short time period, is often triggered by a precipitating event (i.e. overdose of diuretics, large-volume paracentesis without albumin replacement, gastrointestinal bleeding, bacterial infections, etc.)11 AKI has been documented to occur mostly secondary to hypovolemia (gastrointestinal hemorrhage, aggressive diuresis, or diarrhea), infection and drugs in various other studies.12 In this study as well, infection and upper GI bleed was present in 20 (40%) and 15 (30%) of the patients respectively. Here, ALB is linked to bacterial infectious disease.