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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Competing interests: None.
Ethical approval: Not required.
Contributors: JS was responsible for the writing of the report. MWGG and AI advised and supervised the writing of the report within their specialist areas.
Informed patient consent received.