GPT and kidney failure: The following morning, the patient’s condition further deteriorated, resulting in multiorgan failure, including liver and renal failure (serum creatinine of 3.9 mg/dL, international normalized ratio (INR) of 3.4, aspartate aminotransferase (AST) of 820 μ/L, alanine transaminase (ALT) of 432 μ/L, bilirubin total/direct ratio of 1.9/1.5, ammonia level of 80 μmol/L, amylase of 798 u/L, and lipase of 253 μ/L).