UNASSIGNED: @entity2741 is a rare @entity209 in @entity1 and is potentially fatal. It has a wide differential diagnosis, including @entity5 . Here, we report the case of a previously healthy 3-year-old who was admitted to the emergency room with fatigue, hyporeactivity, fever and limping gait that had evolved over 5 days and that was progressively worsening. On examination the @entity1 was unconscious ( @entity772 score: 8). Laboratory tests indicated severe @entity2741 (total @entity460 21.39mg/dL, ionized @entity460 2.93mmol/L) and @entity417 . Hyperhydration was initiated, and the @entity1 was transferred to the pediatric intensive care unit. Continuous venovenous hemodiafiltration with @entity460 -free solution was instituted, which brought progressive normalization of serum @entity460 and an improved state of consciousness. @entity4381 was administered, and metabolic and infectious causes and @entity4968 were excluded. The bone marrow smear revealed a diagnosis of @entity981 . @entity2741 associated with @entity5 in @entity1 is rare and occurs as a form of @entity5 presentation or recurrence. Continuous venovenous hemodiafiltration should be considered in situations where there is imminent risk to life.

Severe @entity2741 as a form of XXXX presentation in @entity1 .

@entity1 :: ('9606', 'Species') :: ['children', 'patient', 'child'] @entity981 :: ('MESH:D054198', 'Disease') :: ['acute lymphoblastic leukemia'] @entity417 :: ('MESH:D000740', 'Disease') :: ['microcytic anemia'] @entity2741 :: ('MESH:D006934', 'Disease') :: ['Hypercalcemia', 'hypercalcemia'] @entity5 :: ('MESH:D009369', 'Disease') :: ['cancer', 'malignancy'] @entity772 :: ('MESH:D003128', 'Disease') :: ['Glasgow coma'] @entity4968 :: ('MESH:D011041', 'Disease') :: ['poisoning'] @entity460 :: ('MESH:D002118', 'Chemical') :: ['calcium'] @entity209 :: ('MESH:D008659', 'Disease') :: ['metabolic disorder'] @entity4381 :: ('MESH:C088658', 'Chemical') :: ['Zoledronate']
@entity981 :: (MESH:D054198,Disease) :: ['acute lymphoblastic leukemia']
