Tetanus Symptoms After a Rusty Needle Injury - Surgery

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Inquiry about tetanus infection?


Hello, Doctor.
On February 16, I was pricked in the finger by a rusty needle while abroad.
There was no bleeding, and the next day I went to a surgical clinic to receive a Tetanus vaccine.
The wound has not shown any signs of redness, swelling, or inflammation since then.
On February 21, I experienced lower back pain for three days (but my menstrual period started three days later, so I'm not sure if it's related).
From March 5 to March 6, I had frequent palpitations (though I have experienced palpitations in the past).
I researched Tetanus symptoms online but found the information unclear.
I am still within the incubation period for Tetanus.
I would like to ask you, Doctor, if these symptoms are related to Tetanus.
Thank you for your response.

Li An, 20~29 year old female. Ask Date: 2023/03/06

Dr. Peng Xianwen reply Surgery


Based on clinical experience, the correlation is minimal.
It is recommended to return for a follow-up examination if there are concerns, as it is more appropriate for the attending physician to assess the situation in person.
Director Peng Hsien-Wen, General Surgery, Nantou Hospital.

Reply Date: 2023/03/06

More Info


Tetanus is a serious bacterial infection caused by the bacterium Clostridium tetani, which can enter the body through wounds, particularly those that are deep or contaminated, such as injuries from rusty nails or needles. Understanding the symptoms of tetanus and their timeline is crucial, especially after an injury like the one you described.

After being punctured by a rusty needle, the first step is to ensure that you are up to date on your tetanus vaccinations. The tetanus vaccine is typically administered every ten years, but if you have a deep or contaminated wound, a booster may be recommended if it has been more than five years since your last shot. Since you mentioned that you received a tetanus vaccine the day after the injury, you have taken the appropriate initial step to prevent tetanus.

Tetanus symptoms usually appear within 7 to 21 days after infection, but they can take longer to manifest. The initial symptoms may include:
1. Muscle Stiffness: This is often one of the first signs of tetanus. It typically starts in the jaw (lockjaw) and can spread to other muscles, leading to stiffness in the neck, back, and abdomen.

2. Muscle Spasms: These can occur in various muscle groups and may be triggered by stimuli such as noise, light, or touch.

3. Difficulty Swallowing: As the muscles involved in swallowing become affected, you may experience difficulty in this area.

4. Fever and Sweating: Some individuals may experience fever, sweating, and changes in blood pressure.

5. Rapid Heart Rate: Tachycardia can occur as the body responds to the infection.

In your case, the symptoms you are experiencing—lower back pain and heart palpitations—are not typical early signs of tetanus. Back pain can be related to various factors, including muscle strain, stress, or even hormonal changes associated with your menstrual cycle. Heart palpitations can also be caused by anxiety, caffeine intake, or other non-tetanus-related factors.

It's important to note that while you are still within the potential incubation period for tetanus, the absence of classic symptoms such as muscle stiffness or spasms is reassuring. However, if you experience any of the following symptoms, you should seek medical attention immediately:
- Stiffness in the jaw or neck
- Difficulty swallowing
- Severe muscle spasms
- Signs of infection at the wound site, such as redness, swelling, or discharge
If you are concerned about your symptoms or if they worsen, it is advisable to consult a healthcare professional. They can evaluate your condition more thoroughly and determine if any further action is necessary.

In summary, while your symptoms are concerning, they do not align closely with typical tetanus symptoms. Monitoring your condition and maintaining open communication with your healthcare provider is key. If you have any doubts or if new symptoms arise, do not hesitate to seek medical advice.

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