Patients diagnosed with severe fever with thrombocytopenia syndrome (SFTS) commonly present with various clinical manifestations, including high fever, gastrointestinal symptoms like nausea or diarrhea, bleeding, and severe central nervous system symptoms such as coma and convulsions.[2,4] Laboratory tests typically reveal thrombocytopenia, leukopenia, and increased levels of certain enzymes in the blood.[7] In this patient, levels of AST, ALT, CK, and LDH were significantly elevated, exceeding the normal range by approximately tenfold. Here, GPT is linked to Decreased total leukocyte count.