tetanus early symptoms

Written by Li Jin Quan
General Surgery
Updated on September 24, 2024
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Tetanus is an infection caused by Clostridium tetani, which enters the body through broken skin or mucous membranes and thrives in an anaerobic environment, producing toxins. Clinically, tetanus is characterized by lockjaw, episodic spasms, and rigid spasms, primarily affecting the muscles such as the masseter, latissimus dorsi, abdominal muscles, and limb muscles. Early symptoms of tetanus infection include general weakness, dizziness, headache, weak chewing, localized muscle tightness, pulling pain, and heightened reflexes.

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Written by Gao Tian
General Surgery
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Can you get tetanus if there's no rust?

For patients, if a wound occurs without rusting, there is still a possibility of tetanus. This is because if the wound is deep, it can lead to an infection by anaerobic bacteria. Therefore, it is recommended to go to the surgical department for thorough debridement and disinfection as soon as possible. At the same time, pay attention to resting, keeping the wound clean and dry, changing dressings on time, and taking oral antibiotics if necessary, such as cephalosporins, to prevent infection. Generally, with good control, recovery will be quick. However, tetanus can still occur, so it is still necessary to pay attention. Afterwards, keep the wound clean and dry, be mindful of your diet, avoid spicy and irritating foods, and follow up with your doctor.

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Written by Gao Sen
General Surgery
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What are the complications of tetanus?

The main complications of tetanus primarily include suffocation, atelectasis, and pulmonary infections. Patients with severe conditions should have a tracheotomy performed as soon as possible to improve ventilation and clear the respiratory tract secretions. At the same time, artificial assisted breathing can be conducted, and hyperbaric oxygen therapy can be used as an adjunctive treatment. Care during tracheotomy should focus on airway management, including airway nebulization, humidification, flushing, and prevention of pressure sores, utilizing strict aseptic techniques to prevent cross-infection and subsequent pulmonary infections. Antibiotics should be selected based on the type of bacteria, and dedicated personnel should be assigned for nursing to prevent injuries from biting the tongue.

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Written by Zhang Peng
General Surgery
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How long does a tetanus shot last?

Regarding how long a tetanus shot lasts, it depends on which type has been administered. Generally, there are two types of tetanus injections: tetanus immunoglobulin and tetanus antitoxin. Typically, doctors perform a skin test before administering the tetanus antitoxin; if the patient has a positive skin test and cannot tolerate desensitization treatment, tetanus immunoglobulin can be administered instead. These two medications have different metabolic times and their preventive effects vary. The metabolic time for tetanus antitoxin is generally one week, whereas for tetanus immunoglobulin, it can last about 28 days. Therefore, how long a tetanus shot lasts depends on the specific circumstances of the patient’s injection.

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Written by Wang Xiang Li
Emergency Medicine
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What should I do if I am allergic to tetanus shots?

The full name of the tetanus shot is tetanus antitoxin serum, which is mainly made from horse serum and has certain allergenic properties. If a patient is allergic to tetanus antitoxin serum, desensitization injections can be used, which involves gradually injecting one milliliter of the tetanus antitoxin serum into the body in four or more sessions, with each injection spaced about twenty to thirty minutes apart. After each injection, it is important to closely observe the patient's reaction, including checking for signs of itching in the nose, hives throughout the body, or difficulty breathing. If any of these symptoms occur, emergency treatment should be administered. If the injections of tetanus antitoxin serum cannot be completed multiple times, or if the patient is unwilling to accept this method of injection, tetanus immunoglobulin can be administered instead of tetanus antitoxin serum. Tetanus immunoglobulin does not require a sensitivity test and can be directly injected into the body without causing an allergic reaction, although it is more expensive.

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Written by Zhang Peng
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What should I do if I drink alcohol with tetanus?

If there are high risk factors for tetanus infection after an injury, and alcohol has been consumed, it is generally advisable to wait until sobriety before conducting relevant skin tests. Currently, there is no clear research on the relationship between alcohol consumption and an allergy to tetanus antitoxin. It is not very clear whether alcohol impacts the results of a skin test, so it is safer to perform the test after sobering up. Since the consequences of a tetanus infection can be severe, and the tetanus injection itself carries a certain risk of anaphylactic shock, which can lead to multiple organ problems and even be life-threatening, it is generally safer to conduct the skin test after sobering up and then proceed with the timely injection treatment. If the skin test is positive, tetanus immunoglobulin should be chosen promptly.