{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T20:37:01Z","timestamp":1761511021692,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,5,17]]},"abstract":"<jats:p>Renal failure in cases of acute lymphoblastic leukaemia during induction is mainly because of sepsis and tumour lysis syndrome. This 18-year-old man had sudden onset anuria with increase in creatine. At this time, patient did not have any overt signs or laboratory features suggestive of sepsis. Imaging studies documented bilateral hydronephrosis. Ureteroscopy was done, and it showed presence of soft tissue mass obstructing the ureter. On the the left side, it was noted in its middle part and on the right, at the ureteropelvic junction. The mass on the left side was removed under ureteroscopic guidance and was sent for histopathology examination. It was confirmed to be fungal ball on histopathology examination. Though rare, even in immunocompromised patients, bilateral fungal ball should be considered in differential diagnosis in cases of acute leukaemia with sudden onset anuria. We share our experience in managing this case for which there are no clear guidelines.<\/jats:p>","DOI":"10.1136\/bcr-2017-220030","type":"journal-article","created":{"date-parts":[[2017,5,31]],"date-time":"2017-05-31T03:30:16Z","timestamp":1496201416000},"page":"bcr-2017-220030","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["A rare cause of anuria in a case of pre-B acute lymphoblastic leukaemia"],"prefix":"10.1136","volume":"2017","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6767-1544","authenticated-orcid":false,"given":"Siddhesh Arun","family":"Kalantri","sequence":"first","affiliation":[{"name":"Institute of Hematology and Transfusion Medicine, Medical College and Hospital Kolkata, Kolkata, West Bengal, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rahul","family":"Singla","sequence":"additional","affiliation":[{"name":"Radiology, Medical College and Hospital Kolkata, Kolkata, West Bengal, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Malay Kumar","family":"Bera","sequence":"additional","affiliation":[{"name":"Urology, Medical College and Hospital Kolkata, Kolkata, West Bengal, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maitreyee","family":"Bhattyacharyya","sequence":"additional","affiliation":[{"name":"Institute of Hematology and Transfusion Medicine, Medical College and Hospital Kolkata, Kolkata, West Bengal, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,5,31]]},"reference":[{"key":"2025082804423564000_2017.may30_3.bcr-2017-220030.1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2013.48.6522"},{"key":"2025082804423564000_2017.may30_3.bcr-2017-220030.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)67255-0"},{"key":"2025082804423564000_2017.may30_3.bcr-2017-220030.3","doi-asserted-by":"publisher","DOI":"10.1099\/jmm.0.012799-0"},{"key":"2025082804423564000_2017.may30_3.bcr-2017-220030.4","doi-asserted-by":"crossref","first-page":"121","DOI":"10.4103\/0971-9261.116047","article-title":"Successful management of a renal fungal ball in a pretermature neonate: a case report and review of literature","volume":"18","author":"Raghunath","year":"2013","journal-title":"J Indian Assoc Pediatr Surg"},{"key":"2025082804423564000_2017.may30_3.bcr-2017-220030.5","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1111\/tid.12495","article-title":"Late aspergilloma of a renal allograft without need for operative management: a case report and review of the literature","volume":"18","author":"Shannon","year":"2016","journal-title":"Transpl Infect Dis"},{"key":"2025082804423564000_2017.may30_3.bcr-2017-220030.6","doi-asserted-by":"publisher","DOI":"10.1089\/end.2006.20.318"},{"key":"2025082804423564000_2017.may30_3.bcr-2017-220030.7","doi-asserted-by":"publisher","DOI":"10.1053\/jinf.2000.0786"},{"key":"2025082804423564000_2017.may30_3.bcr-2017-220030.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)65693-5"},{"key":"2025082804423564000_2017.may30_3.bcr-2017-220030.9","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-2042.2006.01509.x"},{"key":"2025082804423564000_2017.may30_3.bcr-2017-220030.10","first-page":"448","article-title":"Fungemia and renal fungus ball formation with Candida Norvegensis in a child with acute lymphoblastic leukemia","volume":"53","author":"Kurucu","year":"2011","journal-title":"Turk J Pediatr"},{"key":"2025082804423564000_2017.may30_3.bcr-2017-220030.11","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1097\/00006454-198501000-00027","article-title":"Aspergilloma of the renal pelvis in a leukemic child","volume":"4","author":"Marchand","year":"1985","journal-title":"Pediatr Infect Dis J"},{"key":"2025082804423564000_2017.may30_3.bcr-2017-220030.12","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1097\/00007611-197903000-00038","article-title":"Transurethral passage of Aspergillus fungus balls in acute myelocytic leukemia","volume":"72","author":"Torrington","year":"1979","journal-title":"South Med J"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-220030","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:42:44Z","timestamp":1756381364000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-220030"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,5,31]]},"references-count":12,"alternative-id":["10.1136\/bcr-2017-220030"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-220030","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2017,5,31]]}}}