ALB and severe acute respiratory syndrome: It has been shown that coronavirus infection (SARS, Middle EastRespiratory Syndrome and even; COVID-19) could damage the liver, and mild to moderate elevation of alanine aminotransferase (ALT); decreased albumin and increased serum bilirubin levels occur frequently,17–20 but extremely high ALT and bilirubin levels in patient number 3 was noteworthy with some probable explanation like acute liver failure caused by COVID-19 or a rare complication of the disease.21