GPT and hepatitis A virus infection: On initial laboratory examination, the patient had a leukocytosis with a left shift (white blood cell (WBC) count of 19.6 with 79.9% absolute neutrophils), with a glucose of 164 and creatinine of 2.04 with hepatitis of aspartate aminotransferase (AST) 206 to alanine transaminase (ALT) of 60.