His initial workup demonstrated leukocytosis with neutrophilia, lymphocytosis, monocytosis, bands and immature granulocytes, microcytic anemia, significant metabolic acidosis, hyponatremia, acute kidney injury (AKI), elevated transaminitis (aspartate aminotransferase (AST) > alanine aminotransferase (ALT)), hypoalbuminemia, hyperuricemia, elevated lactate dehydrogenase (LDH) >2500; elevated creatine kinase (CK) 5000, free T4 (FT4), C-reactive protein (CRP) and procalcitonin. The gene discussed is GPT; the disease is Increased total leukocyte count.