CRP and Increased total leukocyte count: At the time of initial examination, laboratory changes were reported in the medical records of 23 patients and included increased levels of C-reactive protein (70%), liver enzymes (65%), lactate dehydrogenase (LDH, 13%), and creatine kinase (13%); thrombocytopenia (26%); anemia (17%); and leukocytosis (17%).