Compared to the survival group, serum white blood cells, serum bilirubin, aspartate aminotransferase, alanine aminotransferase, creatine kinase, lactate dehydrogenase, and serum albumin levels were significantly higher in patients who died. The proportion of patients with leukocytosis, hyperkalemia, metabolic acidosis, pneumonia / ARDS, seizures / encephalopathy, need for ICU support, and dialysis was significantly higher in patients who died. The gene discussed is GPT; the disease is metabolic acidosis.