A 7-year-old boy presents with fever, headache, photophobia and neck stiffness. He has a non-blanching purpuric rash on his trunk. His capillary refil...

Question

A 7-year-old boy presents with fever, headache, photophobia and neck stiffness. He has a non-blanching purpuric rash on his trunk. His capillary refill is 4 seconds and blood pressure is low. What is the most appropriate immediate action in the emergency department?

Accepted Answer

Administer high-flow oxygen, give immediate intravenous Cefotaxime and fluid bolus

Answer

Wait for CT head before starting antibiotics

Answer

Give oral Amoxicillin and review in 4 hours

Answer

Discharge with advice if the rash fades with pressure

Answer

Arrange outpatient paediatric review within 24 hours

uk-plab-1 MCQ (SBA): Meningococcal sepsis

A 7-year-old boy presents with fever, headache, photophobia and neck stiffness. He has a non-blanching purpuric rash on his trunk. His capillary refill is 4 seconds and blood pressure is low. What is the most appropriate immediate action in the emergency department?