Hypophosphatemia complicated with neurological manifestations during hematopoietic reconstitution

We report the case of a 52-year-old woman who developed neurological manifestations secondary to severe hypophosphatemia during hematopoietic reconstitution after induction for acute lymphoblastic leukemia. A high cellular uptake of phosphate may be seen in situations with a rapid cell proliferation such as hematopoietic reconstitution, and phosphatemia should be carefully monitored in such situations.