Tetanus allergic symptoms

Written by Li Jin Quan
General Surgery
Updated on September 05, 2024
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The primary allergic reaction to tetanus is anaphylactic shock. Some patients may experience skin redness, itching, chest tightness, difficulty breathing, pale complexion, and cold sweats within minutes after receiving the tetanus vaccine. Some may also experience nausea, vomiting, and even abdominal pain. Additionally, blood pressure may drop, and the pulse may slow down. In severe cases, coma can occur, and even cessation of heartbeat and breathing. The second type of allergic reaction is serum sickness, which can occur after a tetanus injection, characterized by erythema, edema, and itching at the injection site.

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Written by Li Xiao Lin
Emergency Department
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Will tetanus cause muscle soreness?

Tetanus can cause muscle pain. The main symptoms of a tetanus attack include sudden onset, impaired consciousness, frothing at the mouth, limb convulsions, body stiffness, presenting in an opisthotonos posture, and concurrent incontinence of urine and feces, with the duration varying according to the condition. Because convulsions cause the muscles to be in a state of rigidity, this leads to muscle ischemia and hypoxia, thereby increasing lactic acid and causing this state of muscle pain. Therefore, during a tetanus attack, measures should be taken to control these convulsions. At the same time, use chopsticks to prop against the teeth to prevent biting the tongue and other such incidents. If the condition is severe, immediately call emergency services (120) to get to a hospital for urgent treatment.

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Written by Zhang Peng
General Surgery
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How many times do you need to get a tetanus shot?

The number of tetanus shots required depends on the specific condition of the wound and the patient's previous immunization history. Generally, for smaller, superficial, and cleaner wounds, which are considered to have a low risk of tetanus infection, the body can produce protective antibodies on its own. In such cases, a tetanus toxoid injection is given once a month, usually three times in total, allowing the patient's body to produce active antibodies and obtain long-term protection. If the wound is large, deep, and contaminated, with a substantial amount of foreign material or necrotic tissue, the chances of tetanus infection are very high. In such cases, passive immunization is actively conducted, usually involving tetanus antitoxin or immunoglobulin. Here, typically three doses of tetanus toxoid are administered to stimulate the body to produce active antibodies and achieve long-term protection.

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Written by He Zong Quan
General Surgery
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Can a festering wound lead to tetanus?

Wound suppuration and contracting tetanus are two different concepts. Wound suppuration primarily occurs when there is an infection at the wound site, which spreads due to lack of significant control over the infection focus. We need to actively locate the infection source, perform thorough surgical debridement and drainage, use sensitive antibiotics as needed globally, and change dressings in a timely manner to manage the infection. Tetanus, on the other hand, is typically considered when the wound is too deep and visibly contaminated, often by rusty, sharp objects causing the infection. In such cases, thorough surgical cleansing of the wound is essential to prevent surface contamination, along with the systemic use of tetanus antitoxin to reduce or prevent a tetanus infection.

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Written by Xu Jun Hui
General Surgery
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How long does a tetanus shot last?

After receiving a tetanus shot, it generally lasts for about six months. However, if you are injured again after six months and the wound is heavily contaminated, such as with contaminated soil or rust, and the wound is large and deep, it is advised to undergo tetanus treatment again. The purpose of the tetanus shot is to prevent infection by Clostridium tetani, which is an anaerobic bacterium. It tends to proliferate in anaerobic environments and in conditions of heavy contamination by rust and soil. Therefore, if after tetanus treatment the injury is relatively minor, shallow, and comparatively clean, it is sufficient to clean and dress the wound and keep it dry. If the wound is heavily contaminated, large, and deep, it is recommended to administer the tetanus shot again.

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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.