Laboratory examination
The initial workup showed a white blood cell (WBC) count of 11.4 ×
109/L, 94.8% neutrophils, and C-reactive protein
(CRP) of 22.2 mg/L. Biochemical evaluation revealed alanine
aminotransferase (ALT) of 352 U/L, aspartate transaminase (AST) of 435
U/L, total bilirubin (TBil) of 40.8 µmol/L, direct bilirubin (DBil) of
20.2 µmol/L, alkaline phosphatase (ALP) of 188 U/L, and glutamine
acyltransferase (GGT) of 422 U/L. Two days later, re-testing of
hematological and biochemical parameters revealed WBC count of 7.2 ×
109/L, 76.4% neutrophils, CRP of 16.2mg/L, ALT of 934
U/L, AST of 415 U/L, TBil of 127.3 µmol/L, DBil of 69.5 µmol/L, ALP of
272 U/L, and GGT of 571 U/L (Table 1).