On initial clinical examination, the patient did not exhibit overt meningeal signs - there was no neck stiffness, and Kernig's and Brudzinski’s signs were negative. Blood tests (Table 1) showed leukocytosis (18.1 x 109/L) with neutrophil predominance, metabolic acidosis (anion gap of 26.0 mmol/L, bicarbonate of 17 mmol/L), and markedly elevated liver enzymes (alanine aminotransferase (ALT) of 1,626 U/L, aspartate aminotransferase (AST) of 2,153 U/L), along with mildly elevated bilirubin and high serum lactate (5.3 mmol/L). This evidence concerns the gene GPT and Increased total leukocyte count.