Chronic Tetanus Symptoms and When to Seek Help - Surgery

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Chronic tetanus?


Hello, doctor.
I received a tetanus shot on the 11th, but on the 24th, I experienced pain and numbness in my limbs, as well as soreness in my neck and jaw.
Could this be a symptom of tetanus? (I previously read online that there can be non-acute, slower-onset tetanus.) If it is, which specialist should I see? My mouth sometimes feels numb, but I can open it normally; I also have some issues with my temporomandibular joint.

Yun, 40~49 year old female. Ask Date: 2017/10/27

Dr. Li Zhonghuai reply Surgery


Hello! It is recommended to see an infectious disease specialist.
Take care! Changhua Hospital is concerned about you!

Reply Date: 2017/10/27

More Info


Chronic tetanus symptoms can be concerning, especially after receiving a tetanus shot. Tetanus is caused by a toxin produced by the bacterium *Clostridium tetani*, which can lead to muscle stiffness and spasms, typically starting in the jaw and neck before spreading to other parts of the body. However, the symptoms you are experiencing—such as limb pain, numbness, and discomfort in the neck and jaw—are not typical immediate reactions to a tetanus vaccine, which is generally safe and well-tolerated.

It is important to note that tetanus symptoms usually manifest several days to weeks after exposure to the bacteria, not immediately following vaccination. The vaccine itself can cause mild side effects, such as soreness at the injection site, low-grade fever, or fatigue, but these are usually short-lived. The symptoms you describe, particularly the numbness and pain in your limbs and jaw, could be indicative of other conditions rather than tetanus.

Given your symptoms, it would be prudent to seek medical attention. You should consider visiting a neurologist, as they specialize in conditions affecting the nervous system, which could help determine if there are underlying neurological issues contributing to your symptoms. Additionally, if you suspect that your symptoms may be related to temporomandibular joint (TMJ) issues, a dentist or an oral and maxillofacial specialist may also be able to provide insight and treatment options.

In the meantime, it is essential to monitor your symptoms closely. If you experience any of the following, you should seek immediate medical attention:
1. Severe muscle stiffness or spasms: If you notice that your muscles are becoming increasingly stiff or if you are experiencing spasms that are painful or uncontrollable.


2. Difficulty swallowing or breathing: These can be signs of severe tetanus or other serious conditions that require urgent care.

3. Increased pain or swelling: If the pain in your limbs or jaw worsens or if you notice swelling, this could indicate an infection or other complications.

4. Persistent numbness or weakness: If the numbness spreads or if you experience weakness in your limbs, this could be a sign of a neurological issue that needs to be addressed.

5. Fever or chills: These symptoms could indicate an infection or other systemic issue that should be evaluated by a healthcare professional.

In conclusion, while your symptoms may not directly indicate tetanus, it is crucial to take them seriously and consult with a healthcare provider to rule out any serious conditions. Early intervention can lead to better outcomes, so do not hesitate to seek help if you feel that something is not right.

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