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A Modern Pediatric Fable

Editors: Lawrence F. Nazarian, MD.

A pediatrician was called on a Sunday afternoon by the mother of a 17-day-old girl concerned about the baby's navel. The mother described bleeding from the stump and redness and irritation extending beyond the cord itself into the surrounding tissues. In many years of practice, this pediatrician had never seen a case of omphalitis, but the description certainly suggested that particular infection. He felt that he had to examine the child right away and arranged to meet the parents at the office.

On examination, the child clearly did not have an infection of the tissues around the cord. The cord itself had a scant bit of mucoid material on it.

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