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July 7, 1945


JAMA. 1945;128(10):732-733. doi:10.1001/jama.1945.92860270005010b

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The more recent literature on the parenteral administration of amino acid (protein digests) reveals that only occasionally are mild to moderate reactions encountered. Furthermore, it has been demonstrated that these reactions will subside either on reduction of the rate of flow of the infusion or on discontinuance of its administration. Our experience at the Wisconsin General Hospital with approximately two thousand parenteral administrations of amino acids has been similar to that of other investigators. Recently, however, 1 of our patients developed a severe and bizarre reaction which terminated in death. Since, to our knowledge, no mortality has been previously recorded with the use of amino acids, we present this case.

REPORT OF CASE  A white man aged 39, admitted for herniorrhaphy, presented no pertinent symptoms or signs other than those associated with right indirect inguinal hernia. Laboratory studies of the urine and blood were within normal limits. Hemoglobin was 17.7 Gm.

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