Due to dyspnea, the patient was transferred to the teaching hospital in Anuradhapura, and her chest x-ray revealed evidence of ARDS. We started her on CPAP ventilation due to moderate ARDS, and blood investigations revealed neutrophil leukocytosis, thrombocytopenia, marginal transaminitis, and elevated CRP. We gave the first dose of MPP and TPE on the same day. This evidence concerns the gene CRP and Increased total leukocyte count.