From umbilical stump infection. Usually protected by passive maternal Abs
Symptoms - poor suck and failure to nurse, irritability, crying, grimacing
Usually with in 10 d of birth
Rigidity of muscles near wound- may progress to generalized
Most common form of<unk> 
Usually begins with trismus (spasm of the masticator muscle group) with gradual onset of spasm of muscle groups in the trunk and extremities
Spasms exacerbated by external stimuli (light or sudden sound)
Patients can lose ability to breathe during prolonged spasms
Respiratory failure is main cause of death
Patients are conscious and alert
Hypersympathetic state with sweating, hypertension, tachycardia, fever
Follow injuries to head or otitis media
Get cranial nerve dysfunction- usually cranial nerve 7
Acute tetanus
Herpes zoster oticus
Akathisia
Crotaline envenomation
Conversion disorder
Herpes zoster
Drug toxicity 
Stonefish envenomation