Thus, serum albumin could be a better prognostic risk factor or biomarker for imported malaria than liver enzyme, as abnormal liver function impaired synthesis and acute kidney injury, resulting in an increased albuminuria (Viriyavejakul et al., 2014; Doltario et al., 2016; Leopold et al., 2019; Dinkar et al., 2020). Here, ALB is linked to acute kidney injury.