EMERGENCY CASEBOOK
Back pain as the presenting symptom of generalised tetanus
1 Royal Alexandra Hospital, Paisley, UK
2 Southern General Hospital, Glasgow, UK
Correspondence to:
Correspondence to:
Dr J Simpson
Emergency Department, Royal Alexandra Hospital, Paisley PA2 9PN, UK; simpson_j78{at}yahoo.co.uk
Back pain is a common presenting symptom in emergency departments and primary care across the UK. The extensive differential diagnosis includes mechanical, infective, thoracic, abdominal and vascular causes. This case report describes a patient who presented with lower back pain with a rare diagnosis, which is becoming more common in certain population groups, and emphasises the importance of clinical skills and insuring adequate tetanus prophylaxis.
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