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Back pain as the presenting symptom of generalised tetanus
  1. J Simpson1,
  2. A Inglis2,
  3. M W G Gordon2
  1. 1Royal Alexandra Hospital, Paisley, UK
  2. 2Southern General Hospital, Glasgow, UK
  1. Correspondence to:
 Dr J Simpson
 Emergency Department, Royal Alexandra Hospital, Paisley PA2 9PN, UK; simpson_j78{at}


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.