PIK3C2A and Increased total leukocyte count: The two-month-old girl, the farthest from the fish tank, was asymptomatic but presented a marked leukocytosis (34.4 × 103 cells/μL) and high levels of LDH (507 IU/L), venous lactate (5 mmol/L), CPK (259 IU/L) and creatine kinase MB isoenzyme (CKMB; 7.82 ng/mL).