Repeat labs at 24 hours from onset of symptoms again showed leukocytosis, persistently elevated lactate 8.3 mmol/L, worsening liver enzymes (AST 1127 U/L, alanine transaminase [ALT] 988 U/L), worsening kidney function (creatinine 2.9 mg/dL, BUN 28 mg/dL), elevation in troponin 1.0 ng/mL, and elevated lactate dehydrogenase (LDH) 1863 U/L. The gene discussed is GPT; the disease is Increased total leukocyte count.