GPT and chronic obstructive pulmonary disease: In comparison with the study of Wilder et al., our median ALT for all infections of 1.05 h was high compared to the 48.7% cases with an ALT under 0.5 h for their studied selection of 10 infectious diseases (e.g., COPD with acute exacerbation, pneumonia and sepsis due to Escherichia coli) [13].