A 4-year-old girl presents with generalised tonic-clonic seizures and fever. On examination, she is drowsy with neck stiffness and a purpuric rash ove...

Question

A 4-year-old girl presents with generalised tonic-clonic seizures and fever. On examination, she is drowsy with neck stiffness and a purpuric rash over the legs. What is the most appropriate immediate management in the emergency department?

Accepted Answer

Start high-dose intravenous ceftriaxone and vancomycin after blood cultures and secure airway as needed

Answer

Administer acetaminophen and observe

Answer

Order CT head before any treatment

Answer

Give oral antibiotics and discharge

Answer

Treat as simple febrile seizure and reassure parents

ca-mccqe1 MCQ (SBA): Bacterial meningitis in child

A 4-year-old girl presents with generalised tonic-clonic seizures and fever. On examination, she is drowsy with neck stiffness and a purpuric rash over the legs. What is the most appropriate immediate management in the emergency department?