What will happen with tetanus?

Written by Ai Bing Quan
General Surgery
Updated on March 20, 2025
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In clinical settings, tetanus is a type of surgical-specific infectious disease caused by the infiltration of Clostridium tetani through human skin, mucous membranes, or wounds. Tetanus toxin is a true anaerobic bacterium that thrives in oxygen-deprived environments and is highly resistant to environmental conditions. Clostridium tetani mainly produces tetanus toxin and tetanolysin, which can cause whole-body muscle spasms, including facial muscle spasms and difficulty opening the mouth. It can also lead to persistent spasms of the respiratory muscles and diaphragm, causing respiratory arrest and, in severe cases, can result in patient death.

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Written by Li Jin Quan
General Surgery
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Can tetanus be fatal?

Tetanus can be fatal if not treated promptly. When infected with tetanus, early symptoms primarily include dizziness, headache, fatigue, decreased appetite, weak chewing, and sore jaw muscles, some may also exhibit increased reflexes or muscle rigidity. As the condition worsens, some patients show typical tetanus symptoms such as lockjaw, difficulty opening the mouth, risus sardonicus, opisthotonos, and stiff neck. As the condition further deteriorates, it can lead to difficulty breathing, or even respiratory arrest, and cardiac arrest. If not promptly rescued, the patient can die.

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Written by Tang Da Wei
General Surgery
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Where is the tetanus shot given?

Tetanus injections require administration into the muscle, typically in the deltoid or gluteus maximus, which is below the patient's shoulder or on the buttocks. Before administering a tetanus shot, a skin test is usually performed. The test takes place on the inner side of the forearm, where 0.1ml of the solution is injected. Patients might experience some pain during the tetanus shot, but most can tolerate it. The tetanus shot effectively prevents tetanus infections, especially in cases where the wound is deep with a small surface area that can create anaerobic conditions conducive to the colonization and proliferation of Clostridium tetani, leading to tetanus infection. Vaccination can effectively prevent some serious diseases.

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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 Xu Jun Hui
General Surgery
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What is the function of a tetanus shot?

A tetanus shot is used to prevent infection by the tetanus bacillus, because certain wounds, such as those that are deep and small or heavily contaminated, are susceptible to colonization by the tetanus bacillus. This bacterium thrives in anaerobic conditions. It typically enters the body through the skin or mucous membranes and produces toxins that cause muscle spasms, a specific type of infection. This often leads to symptoms like lockjaw, spontaneous spasms, and compulsory spasms, commonly affecting the jaw muscles, abdominal muscles, and limbs, and can be life-threatening. Therefore, for wounds that are heavily contaminated, deep, and small, it is essential to administer anti-tetanus treatment.

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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.