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Review Question - QID 210797

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QID 210797 (Type "210797" in App Search)
A 32-day-old boy is brought to the emergency department because he is found to be febrile and listless. He was born at home to a G1P1 mother without complications, and his mother has no past medical history. On presentation he is found to be febrile with a bulging tympanic membrane on otoscopic examination. Furthermore, he is found to have an abscess around his rectum that discharges a serosanguinous fluid. Finally, the remnants of the umbilical cord are found to be attached and necrotic. Which of the following processes is most likely abnormal in this patient?