Could These Symptoms Indicate a Tetanus Infection? - Internal Medicine

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Could you please clarify if this could be a tetanus infection?


Hello doctor, a few weeks ago I had some small wounds on my body and I'm not sure if they got infected.
Last week, the wounds healed and there were no issues, but recently I've been feeling strange in the morning with a weird sensation in my throat.
My head feels dizzy or painful, and there's a bit of numbness.
After taking a Tylenol, my condition improved slightly.
My body temperature is around 36.7°C, and I feel a bit weak all over, but there's no pain.
Could this be a spasm? Are these symptoms indicative of a tetanus infection? Thank you for your help.

Nìmíng, 20~29 year old female. Ask Date: 2016/08/14

Dr. Hong Yuanbin reply Internal Medicine


Based on your symptom description, it seems more like cold symptoms rather than tetanus symptoms.
Tetanus typically occurs with larger wounds and a higher likelihood of contact with rusted objects or soil.
Your symptoms do not include spasms; they are simply general weakness following an infection.
Thank you for your inquiry.

Reply Date: 2016/08/14

More Info


Tetanus, caused by the bacterium Clostridium tetani, is a serious infection that can lead to severe muscle spasms and stiffness. The symptoms you describe, such as feeling weak, having a sore throat, and experiencing a sensation of numbness or tingling, are not typical indicators of tetanus. However, it is important to understand the context of your symptoms and the potential risk factors associated with tetanus infection.

Tetanus usually occurs when the bacteria enter the body through a wound or cut, particularly if the wound is deep or contaminated with dirt, feces, or saliva. The initial symptoms of tetanus often include muscle stiffness and spasms, particularly in the jaw (often referred to as "lockjaw"), neck, and abdominal muscles. Other symptoms may include difficulty swallowing, fever, sweating, and elevated blood pressure. The progression of the disease can lead to severe complications, including respiratory failure.

In your case, you mentioned having small wounds a few weeks ago, which could be a potential risk factor for tetanus if they were deep or contaminated. However, since your wounds have healed and you are not experiencing the hallmark symptoms of tetanus, it is less likely that you are dealing with this infection. The symptoms you are currently experiencing, such as a sore throat and feeling dizzy or weak, could be attributed to a variety of other conditions, including viral infections, allergies, or even anxiety.

It is also worth noting that the body’s immune response to a recent injury can sometimes lead to feelings of malaise or fatigue, especially if you have been under stress or have had a recent illness. The fact that you felt some improvement after taking a pain reliever like acetaminophen (Tylenol) suggests that your symptoms may not be related to a severe infection but rather to something less serious.

To address your concerns about tetanus specifically, it is important to consider your vaccination history. The tetanus vaccine is typically administered as part of the DTaP (diphtheria, tetanus, and pertussis) series in childhood, followed by booster shots every ten years. If you are unsure of your vaccination status or if it has been more than ten years since your last booster, it would be prudent to consult with a healthcare provider. They may recommend a booster shot if necessary, especially if you have had any recent injuries.

In conclusion, while your symptoms warrant attention, they do not strongly indicate a tetanus infection. It would be advisable to monitor your symptoms and seek medical advice if they persist or worsen. A healthcare professional can provide a thorough evaluation, consider your medical history, and determine if any further testing or treatment is needed. If you have any concerns about your wounds or your overall health, do not hesitate to reach out to a medical provider for guidance.

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