Can tetanus be treated?

Written by Li Jin Quan
General Surgery
Updated on September 05, 2024
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Tetanus is a specific infection caused by toxins produced by the bacterium Clostridium tetani in the human body. If treated systematically and without severe complications, the vast majority of tetanus patients can be cured.

Whenever there is a wound, it should be cleaned with hydrogen peroxide or saline and the patient should go to the hospital as soon as possible for a tetanus vaccine injection.

If tetanus occurs, it is imperative to seek timely treatment at a hospital. Most tetanus patients exhibit muscle tension and rigidity, such as risus sardonicus, difficulty opening the mouth, neck stiffness, and opisthotonus. In severe cases, respiratory arrest or difficulty breathing may occur.

Therefore, tetanus patients, as long as they go to the hospital for early treatment, the vast majority can be cured.

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Written by Zhang Peng
General Surgery
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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.

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Written by Li Jin Quan
General Surgery
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Does tetanus cause fever?

When a person is infected with tetanus, the early symptoms mainly include dizziness, headache, fatigue, decreased appetite, weak chewing, sore jaw muscles, some muscle tension, or some hyperactive reflexes. As the condition worsens, typical clinical manifestations occur, such as difficulty opening the mouth, a sardonic smile, opisthotonos or neck stiffness, muscle spasms, muscle rigidity, and in severe cases, respiratory weakness or respiratory arrest. Some patients may develop a fever after being infected with tetanus. Therefore, some tetanus patients do show symptoms of fever.

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Written by Gao Jun
Emergency Surgery
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Initial symptoms of tetanus

The bacterium that causes tetanus is Clostridium tetani, which is an anaerobic bacterium. If the wound is deep and enclosed in an environment lacking oxygen, it creates a suitable environment for the growth and reproduction of Clostridium tetani. Its incubation period is generally around one week. Early symptoms may include general fatigue, localized muscle tension, and uncontrollable spasms. The first muscles affected are usually the facial chewing muscles, and it can then progress to intense, spasmodic contractions of muscles throughout the body, and even cause fractures. Mild stimuli such as light, sound, or drinking water can trigger and worsen these symptoms, somewhat similar to rabies. However, a characteristic feature of tetanus is that the patient remains mentally clear. Most patients may die from respiratory spasms leading to asphyxiation, heart failure, or lung infections.

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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 Li Jin Quan
General Surgery
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tetanus early symptoms

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.