A 50 yr old  female patient presented  in nephrology department with high grade fever, hypertension, abdominal pain, hematuria, loss of  appetite, weakness, palpitation, for 20 days. Then during the assessment, she was found to have a high level of BUN and creatinine along with raised serum calcium. Subsequently  raised TLC with 50 percent plasmacytoid cells are seen in peripheral blood smear. Serum protein electrophoresis revealed two paraprotein bands in the gamma region. Our reported case in this paper is a primary plasma cell leukemia with unusual renal manifestation.