title: Tetanus caused by ulcerated giant phyllodes tumor.
abstract: Tetanus is a rare infectious disease in western countries, however, it remains one of the most common and fatal disease in developing countries. Several diseases can mimic tetanus, and the diagnostic procedure is important to distinguish tetanus from other disease. Here we report the case of tetanus caused by ulcerated phyllodes tumor. This case suggests that the diagnosis and introduction of effective therapy should not be delayed, even if wound on the extremity surface is not clear.
authors.affiliation: Department of Surgery, National Hospital Organization Kumamoto Medical Center, Ninomaru, Kumamoto, Japan. yamashi1@med.oita-u.ac.jp
authors.forename: Shin-ichi
authors.initials: S
authors.lastname: Yamashita
authors.forename: Ryuichi
authors.initials: R
authors.lastname: Karashima
authors.forename: Aiko
authors.initials: A
authors.lastname: Tsushima
authors.forename: Satoru
authors.initials: S
authors.lastname: Tawara
authors.forename: Katsunobu
authors.initials: K
authors.lastname: Kawahara
mesh_terms: D001943:Breast Neoplasms / Q000175:diagnosis* / Q000382:microbiology* / Q000628:therapy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007564:Japan; D008875:Middle Aged; D003557:Phyllodes Tumor / Q000175:diagnosis* / Q000382:microbiology* / Q000628:therapy; D013742:Tetanus / Q000175:diagnosis* / Q000382:microbiology* / Q000628:therapy; D016896:Treatment Outcome