GPT and Increased total leukocyte count: Initial laboratory studies revealed leukocytosis (12.3 × 103/L), elevated liver enzymes (aspartate aminotransferase [AST] 399 U/L, alanine aminotransferase [ALT] 339 U/L, and alkaline phosphatase [ALP] 268 U/L), total bilirubin of 1.4 mg/dL, lipase of 54 U/L, and an international normalized ratio (INR) of 1.2.