Should You Seek Medical Attention for Tetanus After an Accident? - Surgery

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Tetanus infection


Hello Dr.
Ke, I accidentally hit something while riding my bike, and as a result, I have abrasions on my face, chin, shoulder, arms, and knees (approximately 4-5 cm).
After cleaning and disinfecting the wounds, I noticed that my masseter muscle hurts when I bite down on food.
Should I seek medical attention for this?

Mr. Zhang, 10~19 year old female. Ask Date: 2020/12/26

Dr. Ke Fangxu reply Surgery


This should not be related to tetanus.
In the case of a motorcycle accident, if there is an impact to the jaw, the temporomandibular joint (TMJ) may be injured, which can sometimes result in this condition.
As long as there are no issues with occlusion, it should not be a concern.
Otherwise, an X-ray should be performed to check for any fractures or dislocations of the jaw.

Reply Date: 2020/12/26

More Info


When it comes to injuries sustained from accidents, especially those involving abrasions or cuts, it is essential to assess the risk of tetanus, a serious bacterial infection that can occur when bacteria enter the body through wounds. Tetanus is caused by the bacterium Clostridium tetani, which is commonly found in soil, dust, and animal feces. The bacteria can enter the body through deep puncture wounds or cuts, particularly if they are contaminated.

In your case, you mentioned that you sustained several abrasions on your face, chin, shoulder, arms, and knees, and you have cleaned and disinfected the wounds. The first step in determining whether you need medical attention for tetanus is to consider your vaccination history. The Centers for Disease Control and Prevention (CDC) recommends that adults receive a tetanus booster shot every ten years. If you have not had a booster in the last ten years, or if you are unsure of your vaccination status, it is advisable to seek medical attention.

Additionally, if the wounds are deep, dirty, or show signs of infection (such as increased redness, swelling, warmth, or pus), you should definitely consult a healthcare professional. Even if the wounds appear superficial, if you experience any symptoms such as muscle stiffness, particularly in the jaw (which could indicate lockjaw, a symptom of tetanus), or if you have difficulty swallowing, you should seek immediate medical attention.

Regarding the pain in your masseter muscle (the muscle used for chewing), this could be due to several factors, including muscle strain from the impact of the accident or from clenching your jaw while eating. If the pain persists or worsens, or if you experience difficulty opening your mouth, it would be wise to consult a healthcare provider to rule out any underlying issues.

In summary, here are the key points to consider:
1. Vaccination Status: If your last tetanus booster was more than ten years ago, or if you are unsure, seek medical attention for a booster shot.

2. Wound Assessment: If your abrasions are deep, dirty, or show signs of infection, see a healthcare professional.

3. Symptoms of Tetanus: Be vigilant for any symptoms of tetanus, such as muscle stiffness or difficulty swallowing, and seek immediate medical care if they occur.

4. Jaw Pain: If the pain in your jaw persists or worsens, consult a healthcare provider for further evaluation.

In conclusion, while minor abrasions can often be treated at home with proper cleaning and care, your specific circumstances warrant a careful evaluation of your tetanus vaccination status and the condition of your wounds. If in doubt, it is always better to err on the side of caution and seek medical advice. Your health and safety are paramount, and a healthcare professional can provide the necessary guidance and treatment to ensure a full recovery.

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