Question

A 19-year-old university student presents to his GP with fever, headache, photophobia and a petechial rash on his trunk. He is drowsy but rousable. Blood pressure is 105/65 mmHg and heart rate 110 bpm. You strongly suspect meningococcal meningitis. What is the most appropriate immediate management in primary care?

Accepted Answer

Administer intramuscular benzylpenicillin and arrange urgent blue-light transfer to hospital

Answer

Arrange same-day outpatient assessment at the local medical unit

Answer

Prescribe oral amoxicillin and review in 24 hours

Answer

Give intramuscular dexamethasone and send him home with safety-netting

Answer

Take blood cultures and await the result before treating

Practice question