Question

A 2-year-old under-immunised child presents with fever, lethargy, neck stiffness and a petechial rash. What is the most appropriate immediate management?

Accepted Answer

Immediate IV antibiotics and urgent hospital admission

Answer

Oral antibiotics and review in 24 hours

Answer

Observation only as this is likely viral

Answer

Lumbar puncture in the outpatient clinic

Answer

Topical steroid cream for the rash

Practice question

A 2-year-old under-immunised child presents with fever, lethargy, neck stiffness and a petechial rash. What is the most appropriate immediate management?