Laboratory data showed the following: hemoglobin, 4.8 mmol/L; leukocytes, 1.0 × 109/L; neutrophils, 1 ×109 /L; platelet count, 222 × 109/L; while the differential count showed signs of a severe infection: basophils, 1%; rods, 28%; metamyelocytes, 4%; atypical, 2%; Doehle bodies, +; vacuoles, ++. Serum electrolytes were normal, but the patient had grossly abnormal renal and liver function test results: urea, 42.6 mmol/L; creatinine, 429 μmol/L; alkaline phosphatase, 763 U/L; lactate dehydrogenase, 10,249 U/L; aspartate aminotransferase, 891 U/L; alanine aminotransferase, 253 U/L; total bilirubin, 242 μmol/L; and conjugated bilirubin, 241 μmol/L. Clotting test results were abnormal with prothrombin time of 22.5 s and activated partial thromboplasmin time of 145.2 s, with depleted fibrinogen (0.8 g/L) and antithrombin III (109 g/L) levels. The ammonia level was elevated (225 μmol/L). ECG findings were normal, except for sinus tachycardia. A portable chest radiograph was clear.