Explanation
Puncture wounds, the umbilical cord, surgical sites, and open fractures are all listed portals of entry. Intact unbroken skin is not listed; the material identifies wounds, skin breaks, and other sites that can permit inoculation. **Key takeaway:** Tetanus can follow diverse breaches or contaminated sites, not only puncture wounds.\n\n**Glossary:** **Portal of entry**: a route by which an organism enters the body.
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