Serious abdominal distention and rapid breathing or respiratory distress accounting for 100%, SpO2 were between 60 - 90% in 9 patients (90%), one had SpO 2 < 60%, four patients had fever as high as 38, 5 celsius degree, four patients had hypotension < 90 mmHg, four patients had anemia with red blood cell < 2, 5, five patients had hematocrit < 25%, and hypertransaminesia accounting for 100%.