GPT and viral hepatitis: On July 7, the PLT counts were repeated at 15 x 10^9/L, however, ALT and AST were again elevated (ALT 454.60 U/L, AST 116.91 U/L).After further exclusion of autoimmune liver disease and viral hepatitis, the patient was evaluated for another short-term sharp increase in liver enzymes, and drug induced liver injury was still suspected.