Findings from these suggested multiple etiologies with initial laboratory results from 27 patient samples collected showing 37% (10/27) positive for HAV IgM, 7% (2/27) positive for HCV, 4% (1/27) positive for HEV, and the remaining 52% (14/27) negative for all Hepatitis markers and Leptospirosis IgM. Here, CD40LG is linked to leptospirosis.