Severe Tetanus Complicated by Takotsubo Cardiomyopathy.

A 70-year-old woman was admitted to our hospital due to difficulty in moving her limbs. She had trismus and a necrotic and contaminated wound in her left lower leg. A diagnosis of tetanus was confirmed and intensive care was started.

Outbreaks of influenza B infection and pneumococcal pneumonia at a mental health facility in Japan.

Background: Japan has an aging population and an increasing number of patients who reside in long-term care and mental health facilities. Both pneumococcal pneumonia and influenza B infection outbreaks have been observed in these populations, although no reports have described concurrent outbreaks of pneumococcal pneumonia and influenza B infection in these facilities.

Case Presentation: Six patients and two staffs were initially diagnosed with influenza B infection at a mental health facility on March 14, 2015.