After adjusting for these variables, presence of GI symptoms (aOR 4.2, 95% CI, 1.17-15.60, p=0.03), elevated AST on admission (aOR 4.7, 1.08-20.38, p=0.03), transaminitis on admission (aOR 5.69, 95% CI, 1.47-21.99, p=0.01), and elevated ALT during hospitalization (aOR 31.32, 95% CI, 3.75-260.94, p=0.001) were significantly associated with development of CRS. Here, GPT is linked to congenital rubella syndrome.