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The author responds,
The purpose of our case report was to alert readers to the death of a child related to complications of a circumcision and to stimulate discussion that morbidity associated with this procedure may be higher than we think. The comment that “local anaesthetic was not used” was to rule this out as a contributing factor to the septicemia and cellulitis that led to this child’s death. We agree with Dr McMillan’s comments regarding pain relief for this procedure.
