This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pediatrics
All are features of Neonatal Tetanus except – 
Select and explain. 
A. Refusal to feed is common initial symptom, B. Caused by clostridium tetani, C. Usually occurs in 1st 2 days of life, D. Mortality is 50–75%.
C: Usually occurs in 1st 2 days of life
Answer: C: Usually occurs in 1st 2 days of life 
Explanation: Neonatal Tetanus 


It is caused by clostridium tetani
Clinical features


Symptoms of neonatal tetanus starts by 5-15 days after birth, never in the first 2 days of life and rarely after the age of 2 weeks. (ft is commonly k/a as 811! day disease)
Common initial symptoms are Excessive unexplained crying, Refusal of feeds, Apathy


Prognosis —> Mortality rate varies from 50-75%.