An unusual case of spontaneous acute tumor lysis syndrome associated with acute lymphoblastic leukemia: A case report and review of the literature

Figures & data

Figure 1.  Transthoracic echocardiographic view of the heart. Minimal pericardial effusion and a large mediastinal mass surrounding the heart is seen in the apical 4-chamber view. LV: Left ventricle, RV: Right ventricle, LA: Left atrium, RA: Right atrium

Table I.  Laboratory findings of the case on admission and 7 days after admission

	Normal range	On admission	7 days after admission
Hb (gr/dl)	12–18	8.2	6
WBC (×10^9/l)	4.8–10	18	9.2
Platelet (×10^9/l)	150–450	27	33
LDH (IU/l)	240–480	21 800	–
Urea (mg/dl)	10–50	130	21
Creatinine (mg/dl)	0.5–1.2	2.5	0.62
Uric acid (mg/dl)	<7	31	1.3
Phosphorus (mg/dl)	2.7–4.5	11.9	3.8
Calcium (mg/dl)	8.4–10.2	7.3	9.1
Potassium (mmol/l)	3.5–5.5	5.2	3.8