Laboratory investigations performed after admission in the hospital showed normocytic anemia mostly attributed to CKD, high inflammatory markers suggesting pneumonia/tuberculosis (TB), acute kidney injury (AKI) on top of pre-existing CKD, elevated D-dimer mostly due to her infection, and mildly elevated brain natriuretic peptide (BNP) (Table 1). The gene discussed is NPPB; the disease is chronic kidney disease.