In addition to deep puncture wounds, potential portals of entry for *Clostridium tetani* include animal bites, dental infections, and open fractures.

Each of these is explicitly included among the listed portals of entry. The list is broader than the common puncture wound and includes several clinical or procedural contexts. **Key takeaway:** Consider tetanus risk after a range of wounds and breaks in tissue, including less obvious exposures.\n\n**Glossary:** **Portal of entry**: an opening or route through which a pathogen can enter.