GPT and Increased total leukocyte count: An initial laboratory workup showed mild leukocytosis with white blood cell (WBC) count of 13,700 cells/mm3, elevated inflammatory markers of erythrocyte sedimentation rate (ESR) 48 mm/hour and C-reactive protein (CRP) 84 mg/dl, and moderately elevated serum transaminases of aspartate aminotransferase (AST) 634 U/L and alanine aminotransferase (ALT) 326 U/L.