A 24-year-old woman presents to her GP with a non-blanching purpuric rash on her legs, fever and headache. She is photophobic but has no focal neurolo...

Question

A 24-year-old woman presents to her GP with a non-blanching purpuric rash on her legs, fever and headache. She is photophobic but has no focal neurological signs. You strongly suspect meningococcal meningitis with sepsis. What is the most appropriate immediate management in primary care?

Accepted Answer

Give intramuscular benzylpenicillin and arrange emergency transfer to hospital

Answer

Give oral amoxicillin and arrange urgent clinic review

Answer

Arrange same-day outpatient review with the on-call medical team

Answer

Reassure and review in 24 hours if symptoms persist

Answer

Take blood cultures and wait for results before treatment

uk-plab-1 MCQ (SBA): Meningococcal meningitis/septicaemia

A 24-year-old woman presents to her GP with a non-blanching purpuric rash on her legs, fever and headache. She is photophobic but has no focal neurological signs. You strongly suspect meningococcal meningitis with sepsis. What is the most appropriate immediate management in primary care?