A 4-year-old boy is brought to the emergency department with a temperature of 39.5 degrees Celsius for 12 hours. He is alert but irritable, has a non-...

Question

A 4-year-old boy is brought to the emergency department with a temperature of 39.5 degrees Celsius for 12 hours. He is alert but irritable, has a non-blanching petechial rash on his trunk and neck, capillary refill time is 4 seconds and his hands and feet feel cold. What is the single most appropriate immediate management

Accepted Answer

Give intramuscular Benzylpenicillin and arrange urgent hospital admission

Answer

Give oral Paracetamol and reassure

Answer

Arrange outpatient review in 24 hours

Answer

Request routine blood cultures then observe

Answer

Prescribe oral Amoxicillin and send home

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