GPT and uremia: Scrub typhus fever is associated with some biochemical alterations, including elevated levels of ALT, AST, and bilirubin as indicators of liver damage; hypoproteinemia and hypoalbuminemia as indicators of either capillary leakage or diminished liver function; uremia and creatinemia as markers of AKI; and hyponatremia and hypokalemia as indicators of either nutritional deficiency or diminished kidney function.