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Both Uses of

tetanus
in
A Prayer for Owen Meany

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Definition:
a bacterial infection typically contracted through a puncture wound with a dirty object -- such as a rusted nail
Tetanus is also called lockjaw because of muscle spasms that make the patient incapable of opening their jaw.

People who have had the DTaP (diphtheria, tetanus, pertussis) vaccine and a subsequent booster shot every 10 years, are protected from tetanus. Others should get a "tetanus shot" after a puncture wound with a dirty object. The tetanus shot provides immediate, short-term protection.