Does a tetanus shot stimulate the brain?

Written by Xu Jun Hui
General Surgery
Updated on February 18, 2025
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Tetanus shot, if administering tetanus toxoid, a skin test is required before injection. If the skin test is negative and there is no allergy, then the injection can proceed without stimulating the brain. A small proportion of patients undergoing anti-tetanus treatment might experience some uncomfortable reactions, commonly allergies, fever, and symptoms of vomiting. Generally, these can be alleviated with rest or symptomatic treatment. Only less than 1% of patients may experience seizures or coma, which are very rare reactions. If such reactions occur, it is urgent to go to a formal hospital for symptomatic and supportive treatment. For the vast majority of tetanus shots, if administered in a formal hospital and the patient has a negative skin test, or if given tetanus immunoglobulin, it does not stimulate the brain.

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Written by Li Jin Quan
General Surgery
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Is tetanus serious?

In usual circumstances, when we diagnose tetanus, it is crucial to use a large amount of tetanus antitoxin and tetanus immunoglobulin early on to neutralize the toxins in the blood and alleviate the symptoms of tetanus. If tetanus severely manifests with symptoms such as muscle spasms, muscle rigidity, difficulty in opening the mouth, stiff neck, or complications like respiratory difficulty, respiratory failure, or even cessation of breathing and heartbeat, the condition can lead to severe complications and high mortality rates. Thus, tetanus becomes very severe in its late stages.

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Written by Li Jin Quan
General Surgery
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Do you still need a skin test for tetanus allergy?

Under normal circumstances, if there is an allergy to tetanus, a skin test is not required. If tetanus vaccination is indeed necessary, human immunoglobulin can be injected, and this does not require a skin test. 250 units can be injected directly. Additionally, tetanus antitoxin desensitization injections can be used. The so-called desensitization injection involves diluting 1500 units of tetanus antitoxin into doses of 0.1 ml, 0.2 ml, 0.3 ml, and 0.4 ml, totaling 1 ml, and administering it in four doses, each 20 minutes apart. After the injections are completed, an observation period of 30 minutes is required to ensure there are no adverse reactions before the patient can leave.

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Written by Liu Huan Huan
General Surgery
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Criteria for a Positive Tetanus Diagnosis

After a person is injured, if the wound reaches deeper parts such as the subcutaneous fat layer or even the muscle layer, it is essential to administer tetanus antitoxin to prevent infection from tetanus bacillus. Before injecting the tetanus antitoxin, a skin test must be conducted to prevent allergies and anaphylactic shock. Generally, after injecting the test agent, observations are made for 30 minutes. If there is an enlargement of the wheal, redness and swelling that infiltrates surrounding areas, and the patient feels itching, it indicates a positive result.

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Written by Xu Jun Hui
General Surgery
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How many tetanus shots are administered?

A tetanus shot is sufficient; tetanus treatment can be divided into tetanus toxoid, which requires a skin test, and tetanus immunoglobulin, which does not require a skin test. The tetanus bacillus is commonly found in anaerobic wounds and heavily contaminated wounds, such as those contaminated with soil and rust etc., which can lead to colonization of tetanus bacilli on human mucous membranes and invasion of the body, producing toxins that affect the jaw muscles and respiratory muscles, causing difficulty in breathing and, in severe cases, endangering life. Therefore, for patients who need antitetanus treatment, it is imperative to undergo such treatment, generally with just one injection.

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Written by Li Jin Quan
General Surgery
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What are the initial symptoms of tetanus?

Usually, the tetanus we talk about is a specific infection caused by the toxins produced by Clostridium tetani entering the body through the damaged skin and mucous membranes. Tetanus has some early symptoms and some characteristic symptoms during an attack. Early symptoms mainly include dizziness, headache, fatigue, decreased appetite, difficulty in chewing, some soreness in the jaw muscles, cyanosis of some muscles, or some reflexive muscle pain. If the condition worsens, it can enter a convulsive phase, characterized by lockjaw, difficulty in opening the mouth, a sardonic smile, and stiffness of the neck.