Tetanus often begins with mild spasms in the jaw muscles (lockjaw). The spasms can also affect your chest, neck, back, and abdominal muscles. Back muscle spasms often cause arching, called opisthotonos. Sometimes, the spasms affect muscles that help with breathing, which can lead to breathing problems.
What does tetanus look like on the skin? Tetanus infections do not cause a rash and the wound will not show signs of tetanus. The first symptoms can take days, weeks, or even months to appear and usually start at the jaw. From the outside, tetanus may look like muscle tightness in the jaw, neck, and face.
Signs and symptoms of generalized tetanus include: Painful muscle spasms and stiff, immovable muscles (muscle rigidity) in your jaw. Tension of muscles around your lips, sometimes producing a persistent grin. Painful spasms and rigidity in your neck muscles.
Diagnosis. Doctors can diagnose tetanus by asking about recent history of cuts, scrapes, punctures, and trauma, and examining someone for certain signs and symptoms. There are no hospital lab tests that can confirm tetanus.
There's no cure for tetanus. A tetanus infection requires emergency and long-term supportive care while the disease runs its course. Treatment consists of wound care, medications to ease symptoms and supportive care, usually in an intensive care unit.
Tetanus can be prevented through immunization with tetanus-toxoid-containing vaccines (TTCV). However, people who recover from tetanus do not have natural immunity and can be infected again.
Symptoms of tetanus may not begin to appear until a week after the injury, so as a rule of thumb, try to get the tetanus booster shot within 48 hours of the injury. If tetanus is left untreated, your body could face long-term complications such as airway obstruction, heart failure, muscle damage, and/or brain damage.
A common first sign of tetanus is muscular stiffness in the jaw (lockjaw). Other symptoms include stiffness of the neck, trouble swallowing, painful muscle stiffness all over the body, spasms, sweating, and fever.
The symptoms of tetanus usually develop 4 to 21 days after infection. On average, they start after around 10 days. The main symptoms include: stiffness in your jaw muscles (lockjaw), which can make opening your mouth difficult.
Tetanus is uncommon in the United States, with an average of 30 reported cases each year. Nearly all cases of tetanus in the U.S. are among people who have never received a tetanus vaccine, or adults who don't stay up to date on their 10-year booster shots.
“It's uncommon in the United States—there are about 30 reported cases each year. But nearly all those cases were in people who weren't vaccinated.” Other tetanus risk factors—besides being unvaccinated—include: A foreign object in a wound, such as a splinter or a nail.
Stiff jaw. The term “lockjaw” references the most notable symptom of tetanus: stiffness of the jaw muscles. In some people, this stiffness may also extend to the neck or even abdominal muscles.
You may need a tetanus vaccine if the injury has broken your skin and your tetanus vaccinations are not up to date. Tetanus is a serious but rare condition that can be fatal if untreated. The bacteria that can cause tetanus can enter your body through a wound or cut in your skin. They're often found in soil and manure.
However, a number of other conditions may occasionally mimic tetanus. These include dental abscesses, peritonsillar infections, and submaxillary lymphadenitis. Trismus, neck stiffness, and generalized spasms may be mistaken for encephalitis, encephalomyelitis, meningitis, or intracranial hemorrhage.
0 or 1 – Mild tetanus; mortality below 10% 2 or 3 – Moderate tetanus; mortality of 10-20% 4 – Severe tetanus; mortality of 20-40% 5 or 6 – Very severe tetanus; mortality above 50%
A tetanus shot may be required if you have not had one within 10 years; if you are not sure when you had your last tetanus shot, and you've been bitten, you should get one within 72 hours after your injury. If bitten, but the bleeding is minor, cleanse and treat the wound as you would a minor wound.
Rust does not cause tetanus. Many people grow up believing they will get tetanus from stepping on a rusty nail. And while a puncture wound from a nail is something to take seriously, you don't get tetanus from rust. Rather, bacteria that live in soil and feces cause tetanus.
Tetanus bacteria are common in soil, dust, and manure. The tetanus bacteria can infect a person even through a tiny scratch. But you're more likely to get tetanus through deep punctures from wounds created by nails or knives. The bacteria travel via blood or nerves to the central nervous system.
Tetanus is different from other vaccine-preventable diseases because it does not spread from person to person. The bacteria are usually found in soil, dust, and manure and enter the body through breaks in the skin — usually cuts or puncture wounds caused by contaminated objects.
But with treatment, patients usually survive tetanus and recover. In recent years, tetanus has been fatal in approximately 11 percent of reported cases.
Today the majority of new cases of tetanus occur in South Asia and Sub-Saharan Africa. As the chart shows, these two regions account for 82% of all tetanus cases globally. Similarly, 77% of all deaths from tetanus, 29,500 lives lost, occur in South Asia and Sub-Saharan Africa.
The likelihood of tetanus is greatest following deep, dirty puncture wounds where there is little bleeding and an absence of oxygen. But tetanus has occurred following other injuries such as burns, scratches, and slivers.
If your tetanus immunization is not up to date and the injury caused a break in your skin, you need a tetanus shot even if it is a small scratch or scrape.
All wounds other than clean, minor cuts are considered 'tetanus prone'. If you get a wound and you haven't been immunised for tetanus in the last five years, visit your doctor as soon as possible.
Why Do Tetanus Shots Hurt? If you have received a tetanus shot and your arm is sore, you may be experiencing discomfort due to your body's production of antibodies in response to the viruses in the vaccine.