One patient with AHA during the first semester of 2017, just before the outbreak, was taking pre-exposure prophylaxis (PrEP) and interestingly developed higher and prolonged transaminasemia (SGOT 4934 U/L, SGPT 6950 U/L, bilirubin 10.46 mg/dL, INR 1.36, γ- GT 337 U/L). Here, GOT1 is linked to autoimmune hemolytic anemia.