Can tetanus be cured in its early stages?

Written by Li Xiao Lin
Emergency Department
Updated on March 23, 2025
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Whether tetanus can be cured in the early stages depends on the severity of the condition and the individual's constitution. If the tetanus is mild, indicating a lighter infection, treatment might be relatively easier. Through symptomatic treatment and anti-tetanus bacillus therapy, the condition can be alleviated and improved. However, if the tetanus is severe, with persistent convulsions and various complications, treatment becomes more complicated and may lead to death. Therefore, if an injury occurs, proactive measures should be taken to treat the wound to reduce the risk of tetanus infection. Also, within 24 hours, one should go to the hospital to receive tetanus antitoxin or tetanus immunoglobulin to prevent the onset of tetanus.

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

Tetanus is a curable disease. It is usually caused by an infection with the tetanus bacillus, which produces a specific infection in the human body. Clinically, it is mainly manifested as muscle tension and rigidity, with the primary symptoms being difficulty opening the mouth, a sardonic smile, neck stiffness, and opisthotonos. In severe cases, it can lead to respiratory confusion, respiratory arrest, or cardiac arrest. Therefore, patients with tetanus should go to the hospital for treatment as soon as possible. With standardized and systematic treatment, the vast majority of patients can be cured.

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Written by Xu Jun Hui
General Surgery
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How to administer an injection if the tetanus skin test is negative

A negative tetanus skin test indicates that there is no allergy to tetanus antitoxin, and 1500 to 3000 units of tetanus antitoxin can be directly administered via intramuscular injection in the upper arm or buttock. If the wound is heavily contaminated or the injection is not timely, the dose may be doubled or tripled at discretion, and it is also necessary to clean and dress the wound. The purpose of administering tetanus antitoxin via intramuscular injection is to prevent infection by Clostridium tetani. Therefore, patients with heavily contaminated or deep wounds must receive tetanus antitoxin treatment.

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Written by Li Jin Quan
General Surgery
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Tetanus allergic symptoms

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 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 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.