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HardPaediatricsMeningococcal sepsisuk-plab-1

A 5-year-old boy presents with a non-blanching purpuric rash on the legs, fever, and lethargy. Capillary refill is 4 seconds, pulse 140 bpm and blood pressure 80/45 mmHg. He is drowsy. What is the most appropriate immediate management?

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