Mushroom poisoning is associated with a massive rise in AST and ALT.25 Different studies have shown a poor prognosis in emergency LT recipients who underwent surgery with increased plasma levels of AST, ALT, INR, BUN, and Creatine.12,16 A recent study by Badsar and colleagues26 reviewed the laboratory results of patients with mushroom poisoning taken at the time of admission and observed that 28.4% of the patients had leukocytosis as well as a platelet count below 100 000. This evidence concerns the gene GPT and Increased total leukocyte count.