17/08/2026
I transferred this patient to The Ralph ๐ ๐พ Read about his story hereโฆ..
Over the course of a few days, Crumbleโs carers noticed he had become quieter than usual, was making unusual noises, and seemed to be struggling to eat comfortably. After recognising these signs, his primary care vets found his symptoms concerning for tetanus. They immediately referred him to The Ralph for further treatment and support.
Tetanus is a rare but very serious condition caused by toxins released from bacteria that enter the body through a wound, sometimes one so small it is never found. These toxins affect the nervous system, causing painful muscle spasms that result in difficulty eating, swallowing, and walking. Although Crumbleโs signs were initially mild, he became progressively more unwell during his stay and required intensive nursing care.
As his muscle stiffness worsened, our team put several supportive measures in place to keep him comfortable and stable. Because he was unable to swallow safely, a nasogastric feeding tube was placed to deliver essential nutrition directly to his stomach. A urinary catheter was also placed to allow him to urinate comfortably, as he was temporarily unable to walk independently. His treatment plan included a combination of muscle relaxants, pain relief, and antibiotics to support his recovery.
The recovery process for tetanus can be complex, and Crumble faced an additional challenge when a regurgitation episode led to suspected aspiration pneumonia. This occurs when stomach contents enter the lungs and can cause a serious infection. He was treated quickly with broad-spectrum antibiotics to treat the infection and provided high-flow oxygen therapy delivered through nasal prongs to help him breathe comfortably.
After nearly two weeks in the hospital, Crumble began showing significant signs of improvement. He was soon managing well without oxygen support, his urinary catheter was removed, and he was able to walk with minimal assistance. This wonderful progress meant he was finally able to head home with his family.
Crumbleโs carers are now continuing his recovery at home with gradual exercise, administering his medications, and hand-feeding him soft food to help avoid triggering further muscle spasms ๐ฉต