Question

A 3-year-old boy presents to ED with fever, non-blanching petechial rash and lethargy. BP is low and capillary refill is prolonged. Meningococcal sepsis is suspected. What is the most appropriate immediate action?

Accepted Answer

Administer intravenous ceftriaxone immediately and notify public health authorities

Answer

Arrange CT brain before treatment

Answer

Obtain lumbar puncture prior to antibiotics

Answer

Start oral amoxicillin and discharge with review

Answer

Observe while waiting for blood culture results

Practice question

A 3-year-old boy presents to ED with fever, non-blanching petechial rash and lethargy. BP is low and capillary refill is prolonged. Meningococcal sepsis is suspected. What is the most appropriate immediate action?