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The Wound-Up Infant

An 8 month-old, previously healthy circumcised boy, presented to the Emergency Department with his mother for increasing irritability. The mother stated that the patient went to bed the night prior to presentation in his usual state of health, but woke up crying. He refused feeds, but had no vomiting, fevers, cough or difficulty breathing. The mother stated that she saw something abnormal when changing the patient’s diaper…