GPT and blood coagulation disease: The hemogram and biochemistry study showed coagulopathy but no thrombocytopenia (international normalized ratio (INR) 2.9, platelet count 22,6000/μL), jaundice (total bilirubin 11.1 mg/dL, direct bilirubin 6.9 mg/dL), abnormal liver function test (aspartate aminotransferase (AST) 824 U/L, alanine aminotransferase (ALT) 636 U/L), azotemia (blood urea nitrogen (BUN) 21.2 mg/dL, creatinine 5.87 mg/dL) or elevation in ammonia level (408 μg/dL).