Averrhoa bilimbi belongs to the Oxalidacea family of fruits. It was introduced from tropical America but is now pantropic and is cultivated in many Asian countries including the Philippines. Its nutritional and medicinal values are well known, however, due to its high oxalate content, excessive intake can lead to acute kidney injury (AKI). We report a case of AKI after ingestion of kamias (Averrhoa bilimbi) juice. Consent was granted by the patient to share her case with the intent of raising public awareness regarding the dangers of consuming high quantity of Averrhoa bilimbi fruit.