A 25-year-old man presents with fever, severe headache, photophobia and a purpuric rash. He is hypotensive and tachycardic. You suspect meningococcal ...

Question

A 25-year-old man presents with fever, severe headache, photophobia and a purpuric rash. He is hypotensive and tachycardic. You suspect meningococcal sepsis. You are in a GP surgery 30 minutes from the nearest hospital. What is the most appropriate immediate management?

Accepted Answer

Give intramuscular Benzylpenicillin and arrange urgent ambulance transfer

Answer

Wait for an ambulance without giving antibiotics

Answer

Give high-dose oral Amoxicillin and review in a few hours

Answer

Start oral Paracetamol only and observe in surgery

Answer

Arrange routine outpatient review with the infectious diseases clinic

uk-plab-1 MCQ (SBA): Suspected meningococcal sepsis

A 25-year-old man presents with fever, severe headache, photophobia and a purpuric rash. He is hypotensive and tachycardic. You suspect meningococcal sepsis. You are in a GP surgery 30 minutes from the nearest hospital. What is the most appropriate immediate management?