PT - JOURNAL ARTICLE AU - Simpson, J AU - Inglis, A AU - Gordon, M W G TI - Back pain as the presenting symptom of generalised tetanus AID - 10.1136/emj.2006.041269 DP - 2007 Jan 01 TA - Emergency Medicine Journal PG - e5--e5 VI - 24 IP - 1 4099 - http://emj.bmj.com/content/24/1/e5.short 4100 - http://emj.bmj.com/content/24/1/e5.full SO - Emerg Med J2007 Jan 01; 24 AB - 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.