NPPB and Abnormal renal physiology: Blood samples showed an elevated inflammatory response, anemia (hemoglobin: 9.8 g/dL and hematocrit: 31.9%), mild renal dysfunction (blood urea nitrogen: 31.1 mg/dL, creatinine: 0.99 mg/dL, and estimated glomerular filtration rate: 55.6 mL/min/1.73 m2), markedly elevated brain natriuretic peptide (BNP) (2480 pg/mL) and markers suggestive of disseminated intravascular coagulation (platelets: 3.8 × 104/μL, prothrombin time: 16.5 s, fibrin/fibrinogen degradation products: 64 μg/mL, and D-dimer: 16.4 μg/mL).