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The PNP is seeing а 14-yeаr-оld bоy cоmplаin of penile pain. Assessment of the uncircumscribed shows swelling, tenderness, and erythema of the glans penis, extending into the distal end of the penile shaft. There is a white curd-like exudate under the retracted foreskin. The patient denies sexual activity or new soaps or cleaning products. What likely caused the patient's symptoms?