What is the most common type of tetanus reported?

Generalized tetanus is the most common type reported primarily because it occurs due to widespread dissemination of the tetanus toxin throughout the body, impacting various muscle groups and leading to the characteristic muscle rigidity and spasms. This form of tetanus typically arises from a wound that becomes contaminated with Clostridium tetani spores, allowing the production of the potent toxin, tetanospasmin.

Local tetanus, while it can occur, is less common and presents with muscular spasms restricted to the area around the injury. Cephalic tetanus is rare and specifically affects cranial nerves, leading to symptoms such as facial muscle spasm, often seen in cases related to head injuries or ear infections. Neonatal tetanus is also less common and occurs in newborns, often due to umbilical cord infections, and its incidence has significantly declined in areas with better maternal care and vaccination. Thus, generalized tetanus is more frequently reported because it encompasses a broader range of cases and is the typical presentation when the disease occurs.