A drug addict suffering from tetanus is described in order to alert ph
ysicians into recognizing this life-threatening complication of parent
eral drug abuse. This young man had used all accessible veins and star
ted injecting heroin subcutaneously. This resulted in numerous cutaneo
us ulcers and abscesses-the probable site of Clostridium tetani infect
ion. Prompt recognition and appropriate management resulted in complet
e recovery after a prolonged stay in the intensive care unit.