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Mohammed H. Parsa, MD; Marvin D. Anderson, MD; Ralph W. Richter, MD

AMA Arch Surg. 1972;105(3):420-423.

Abstract
Five heroin addicts with severe tetanus and its consequent catabolic state were managed with antitetanus therapy and central venous hyperalimentation. Adequate nutrition and maintenance of weight were achieved until enteral nutrition was resumed. This is the first documented use of total parenteral nutrition to meet the accelerated metabolic demands of severely ill patients with tetanus.

Author Affiliations
New York

From the departments of neurology (Dr. Richter), medicine (Dr. Anderson), and surgery (Dr. Parsa), Columbia University College of Physicians and Surgeons, Harlem Hospital Center, New York. Dr. Anderson is now at the Henry Ford Hospital, Detroit.

Footnotes
Accepted for publication Feb 1, 1972.

Reprint requests to Department of Neurology, Columbia University College of Physicians and Surgeons, Harlem Hospital Center, 136th Street and Lenox Avenue, New York 10037 (Dr. Richter).

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