A 6-month-old infant presents with a 3-day history of fever, poor feeding, and irritability. Today, the mother noticed a non-blanching, purpuric rash ...

Question

A 6-month-old infant presents with a 3-day history of fever, poor feeding, and irritability. Today, the mother noticed a non-blanching, purpuric rash developing over the limbs and trunk. The infant appears lethargic. What is the most important immediate action?

Accepted Answer

Administer intramuscular Benzylpenicillin

Answer

Administer oral paracetamol

Answer

Perform a lumbar puncture

Answer

Arrange urgent blood tests including FBC and CRP

Answer

Administer intravenous fluid bolus

mrcem sba MCQ (SBA): Meningococcal Septicaemia

A 6-month-old infant presents with a 3-day history of fever, poor feeding, and irritability. Today, the mother noticed a non-blanching, purpuric rash developing over the limbs and trunk. The infant appears lethargic. What is the most important immediate action?