Question

A 25 year old woman presents with fever, headache, photophobia and neck stiffness. She has a non blanching purpuric rash on her trunk and limbs and is hypotensive. According to NICE guidance, what is the most appropriate immediate action in primary care before transfer to hospital?

Accepted Answer

Give intramuscular Benzylpenicillin and arrange emergency transfer to hospital

Answer

Give high dose oral Amoxicillin and arrange routine hospital review

Answer

Arrange urgent non contrast CT head before treatment

Answer

Reassure the patient and review in 24 hours

Answer

Start oral Prednisolone to reduce meningeal inflammation

Practice question

A 25 year old woman presents with fever, headache, photophobia and neck stiffness. She has a non blanching purpuric rash on her trunk and limbs and is hypotensive. According to NICE guidance, what is the most appropriate immediate action in primary care before transfer to hospital?