Laboratory examinations demonstrated a total white blood cell (WBC) count of 16,200/mm3, platelets of 56,000/mm3, left shift up to band forms, and neutrophilic leukocytosis in the peripheral smear, IgM for leptospirosis (negative), blood urea of 170 mg/dL, serum creatinine of 2.5 mg/dL, amylase of 217 U/L, total bilirubin of 12.4 mg/dL, direct bilirubin of 12.1 mg/dL, albumin of 2.1 g/dL, serum aspartate aminotransferase (AST) of 1146 U/L, alanine aminotransferase (ALT) of 401 U/L, alkaline phosphatase (ALP) of 784 U/L, INR of 2.1, and ammonia of 230 μ/dL. Here, GPT is linked to leptospirosis.