A farmer 37 years of age was admitted to the Shinshu University Hospital Feb. 15, 1955 (two weeks prior to death) with a clinical diagnosis of perforation of gastric ulcer. During the 2nd World War (13 years ago) he has had severe dysentery and malaria in Middle China. About a month ago he got drunk and two days later he had severe chill accompanied by fever (40.5"C). At that time he complained a sharp pain over the epigastric region, hardly with nausea or vomiting and had watery diarrhea five or six times a day. On admission, the right upper quadrant of the abdomen was rigid. The liver was enlarged and its consistence increased. The blood pressure was 85 systolic and 48 diastolic.Laboratoty findings in Feb. I6 :The hemoglobin content was 75 per cent, R.B.C. numbered 3,810,000 and W.B.C. 14,000 ; the differential count showed 80% polymorphonuclears with 27.5% non-segmented and 52.5% segmented, 2% metamyelocytes, 2% eosinophiles, 2% monocytes, 8.5% small lymphocytes and 5.5% large lymphocytes. Urinalysis gave positive results for protein and urobilin bodies, and a few microscopic R.B.C. and W.B.C. were found. Stools were watery and mixed with mucus and blood coagulation, but ameba was not detected. Various antibiotics were administrated and aspiration of the stomach contents for treatment gave ca 1500 cc of brownish rnucinous fluid every day. Diarrhea increased gradually to 15 or 20 times a day, and he died on March 9, 1955, of increasing emaciation.
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