Two days after admission, his laboratory work-up showed increased leukocytosis (91,010/mL), anemia (Hgb 10.2 g/dL) and thrombocytopenia (73,000 platelets/mL), continued acute kidney injury with metabolic acidosis and signs of hepatitis (total bilirubin 4.7 mg/dL, AST 43 U/L, ALT 41 U/L, alkaline phosphatase 156 U/L, albumin 2.6 g/dL and total protein 4.9 g/dL). Here, GPT is linked to hepatitis A virus infection.