Doctor insights on:
TETANUS /LOCKJAW....: Acute spastic paralytic illness by neurotoxin produced by bacteria clostridium tetani that lives in soil, dust, intestine of animals; gain access thru contaminated wound. Diagnosed from symptoms: difficulty in chewing(trismus)/swallowing, stiffness, intractable spasm of facial muscle result in 'sardonic smile', spastic paralysis extends to abdomen/lumbar/hip/ thigh results in 'arched posture' etc. ...Read more
Dirty wound: Tetanus spores exist in the dirt worldwide. A wound in dirty skin or touched by contaminate fingers can transfer spores to the wound that then germinate. The germs produce a toxin as they grow that gets in the blood to produce tetanus. Tetanus is not spread person to person. ...Read moreSee 1 more doctor answer
Germs produce toxin: Tetanus is produced by germs that exist as spores (eggs) in the dirt worldwide. The contamination of any open wound by these spores allows them to germinate and multiply. They produce a toxic chemicle that circulates locally or throughout the body to produce the symptoms of tetanus.If vaccinated, your body is protected from this chemical. ...Read moreSee 1 more doctor answer
Protection wears off: The protection provided by a tetanus shot usually provides ample levels of circulating antibody protection for up to ten years. After that point it fades & the person may develop tetanus if exposed. Protection from tetanus & several other bacteria based vaccines does not last as long as most viral vaccines & must be boosted periodically to maintain protection. ...Read more
Yes: Tetanus is a serious, preventable, bacterial disease. Major symptoms include severe painful muscle spasm and stiffness of the neck and jaw. This is where the term "lockjaw" comes from. Patients also suffer from fever, chills, sweats, and trouble breathing. There is no cure, so prevention is key. Adults should receive tetanus vaccine every 5-10 years. ...Read more
Uncontrollable spasm: Uncontrollable straining of your back (your head is bent backward to the ground, and your back is twisted in the shape of a "u"), uncontrollable grimacing, and uncontrollable spasms of your muscles. It is significant if you recently had a puncture wound to the foot from the ground, or a puncture wound from a rusty nail anywhere on the body. If you are not immunized see a doctor immediately. ...Read moreSee 1 more doctor answer
Depends: The recommendations vary depending on past vaccine history and wound. If the vaccine series was completed within the past 5 years and the wound minor & cleaned quickly, none needed. After 5-10yr, not unless wound is complex or dirty.At>10yr yes for all wounds within 24hrs.If never vaccinated or initial series not complete, the sooner the better. ...Read moreSee 1 more doctor answer
Booster every ten: After an initial series, boosters are given every ten years unless one has a dirty wound in which case the interval may be shortened. There is very little harm in getting an early dose. Tetanus vaccine is often combined with diphtheria and activated pertussis (whooping cough) vaccines. Dtap and tdap. ...Read more
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Any skin opening: An untreated foot laceration that clogged thru the swamp, mud & dirt would be the prime illustration of tetanus risk. Yet, a simple shallow opening in the skin, contaminated by tetanus spores ( that are all around us but predominantly outside in dirt) could give you tetanus. You put yourself at risk every time you let your system weaken & the booster is simple & readily available. ...Read more
DiffIcult: History of injury, wound or after delivery is important. Pt has contractures of group of muscles like when smiling ironically ( sardonic smile), and contractures of limbs. Life-threatening neurologic syndrome characterized by tonic muscle spasms and hyperreflexiatetanus toxin can be detected in serum, confirming a clinical diagnosis. Samples should be collected before immunoglobulin treatment. ...Read moreSee 1 more doctor answer
Agressive management: Avoiding tetanus in an old >1-2 day & dirty wound requires agressive management.The wound is cleaned & dead tissue removed. Tetanus Immune Globulin is administered to block (immediately) the effect of any toxin emerging from the wound while the toxoid is given to boost the individuals response(which takes a while).Oral or IV meds are given to kill off the tetanus germs. ...Read moreSee 1 more doctor answer
Prior serious rxn: Those with a prior serious reaction to toxoid should avoid it. Those at significant risk of tetanus could pursue an evaluation with an allergist to identify which component of the vaccine that caused the rxn and go thru specific desensitization procedures. This could allow someone to continue updating the vaccine. Also, drs can check the blood and verify you still have protective antibodies. ...Read moreSee 2 more doctor answers
Skin test: One can always do a scratch test to see if there is an urticarial reaction (hives). Most aren't allergic to this, and i don't know what has led to the thought if it's allergic, but a visit with an allergist to test may be the best option. If there's a question or a concern that there could be an allergy but you're not sure, sometimes you can get the shot at the allergist. ...Read more
On remicade, (infliximab) lab tests show low pneumonia, diphtheria, and tetanus antibodies? Should I do anything or be concerned?
Observation: Remicade (infliximab) can have some immune suppressing properties and your physicians might have a lower threshold for treating infections. Let them know of any symptoms that might be due to infection so they can initiate antibiotic treatment appropriately. ...Read moreSee 1 more doctor answer
Abnormal: A rigor is an extreme reaction associated with high fever and shivering etc. It is an illness in itself and indicates that the patient over-reacted to the toxoid. Whether you call it allergy of sensitivity is immaterial. The toxoid should never be given again. ...Read moreSee 1 more doctor answer
Got cut with a dirty blade desinfected with KMnO4.No local signs of inflamation. Last date of tetanus shot 17.11.2005. Shoul get tetanus shot again ?
Yes: Since it has been more than 5 years since your last booster, you should get one even though there are no signs of infection/inflammation. Make sure that you get a Tdap, as we now know you need pertussis boost as well and you would not have gotten that back in 2005. ...Read moreSee 1 more doctor answer
Prevnar (pneumococcal vaccine) 13 vaccine has diphtheria proteins in it. Does Prevnar (pneumococcal vaccine) 13 vaccine protect against pneumococcus and diphtheria? Thank-you!
No: The diphtheria proteins used for PCV-13 (Prevnar) are not antigenic for diphtheria. That means they are not recognized by the body to produce an immune response. They just help carry the pneumococcal proteins into the appropriate cells to create the immune response for the pneumococcal bacteria. ...Read more
NO! and Yes: No, there is essentially no natural immunity to tetanus toxin. Therefore only effective way to control tetanus is by prophylactic immunization. Universalimmunization with subsequent maintenance of adequate antitoxin levels by means of appropriately timed boosters is necessary to protect all age groups, even if you have previous had natural infection. ...Read moreSee 1 more doctor answer
I was positive on chlamydia and got treat but my partner didn't he got check 3 months after and was negative, he had a tetanus shot during does 3 mont?
False Negatives: It is very unusual for anyone familiar with lgbt medicine to not treat your partner, regardless of the test result. It is nearly impossible in some instances to pick up the bacteria on standard testing swabs. If there is any risk of exposure then one should be treated. And, in the lgbt medical standards both of you should have been treated for gonorrhea and chlamydia. The tetanus shot has nothing. ...Read more
Have it evaluated: Such injuries can potentially be dangerous as one may develop tetanus, or a number of other types of deep infections. If the wound was deep enough they may lead to bone infections. Have the wound properly evaluated and treated to avoid preventable complications. ...Read moreSee 4 more doctor answers
Can someone that is infected with the tetanus bacteria, be treated if it is progressed moderately and is tetanus disease slow growing or rapid. Is there a blood test to detect tetanus to see if you are infected? The last time I had a tetanus shot was 26
Medicines & Vaccines: There are many drugs to treat tetanus. The ones used depend on the degree of illness. Antibiotics are used to treat the tetanus bug itself. A reconstituted antibody (part of the immune system) and muscle spasm relievers can be used if there's a significant infection. And a vaccine/booster is also given if indicated. Please see the cdc website for more info: http://www.Cdc.Gov/tetanus/about/. ...Read more