often seon in aneie patients and in those whose illness is accoxpanied
by disturbancos in consciousness, Mr.
ease included both
of these conditions and it was considored probable that such fungi
wore present toward the end. The question is whether these fungi did
any harm. aAntibfotics must be used in general systozic conditions of
this type where there is danger of infectious discases conplic ating
the existing heratopoletic dysfunction; mycotic Involvement is an
inevitable result of the use of these antibiotics, The doctors in
the casa also took great paina to prevent this. then we appeal to
antibiotics or trensfusions in the future treatment of radiation
siclness wa will have to consider tha problem of fungi and viruses,
Through the caze of Mr.
we hive learned a great deal.
Fujinorl:
Ohashi:

what caused the enlargonent of the right atriun?
I think it erc3se from the resistance to pneunonia.

The

partial conditien of the richt atriun ray have oceurred froa such
cau3e, although I an not certain of it.

Fujimori:

Dr. Ohashi and Dr. Kunatori explained in detail the

problea of the liver. But the mitter of trensfusicn turns out to be
aulte subtle and I believo that tha treatccnt will becoug more and
tore coxrplicated. Transfuiten ds absolutely necessary for proper
troaticnt; but I veuld 1iFs to sie whether fny dota are avail-ble
abcut the ralationshnip bebicen the qu-ntity of transfusion and the

dysfunction of the liver.

Fuwratordi: Vs ernnot abrnion transfusion cases of panwelerhthiais. I exanincd those who gave blood for the Bikini patients and

found that other patients who received blood fron the same porseons did

not develop jamdice, A different porson supplied blood to the Bikini
patients each tine. J am now examining the dry blood-plasma,

Koyaza:

Transfusion of blocd-piasma is also a problen.

Sone of

the 16 patients, who were rot given transfusions, had low-grade
jaundice after receiving blood-plasma.

wee
abc

oa tha very bozinning wa ccasidered serous hepatitis so we
zt‘th sera of cll tho paticnts separately from the tine of initial

spltalfontica until now.

Ticse can ba examined a3 the occasion

cous, It has Loon my experience that no patient has died of jaundics or hepatitis which occurred after blood transfusion. All of thea,
recovered smooti.ly, without suffering recurrences, Dr. Kuzatori is
now exanining tha dry blood-plas37a.
Coto: Dre Chashi has dasciibed the eutopsy in detail. He told
uz that ka could not rule cut serous hepatitis in the case of Mr.
hepctic dysfunction. Does this mean that although serous
heprtitia right bo considered, the dysfimction resulting fron the
proscace ef radfonstLae substrnecs was the primouy thing?
Ch-shi: Yes. I think the :::in object of our study should be to
clarify these doubtful points. Of course, I am not elininating
ccreus hepatitis. It is also an icportant problen; and as the stuty of
radiaticn sielme3zs is really difficult, I hope wa cen all cooporate
in fucthor rosaa.ch on this abjcct.

US DO ARCHIVES

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