Question

A 5-year-old boy is brought to A&E with fever, non-blanching purpuric rash, lethargy and capillary refill time of 5 seconds. Blood pressure is low and he appears mottled. What is the most appropriate immediate management?

Accepted Answer

Administer intramuscular Benzylpenicillin and urgent intravenous broad-spectrum antibiotics with fluid resuscitation

Answer

Arrange an urgent CT scan of the brain

Answer

Wait for blood culture results before starting antibiotics

Answer

Discharge with safety-net advice

Answer

Start high-dose oral Amoxicillin and review in 24 hours

Practice question

A 5-year-old boy is brought to A&E with fever, non-blanching purpuric rash, lethargy and capillary refill time of 5 seconds. Blood pressure is low and he appears mottled. What is the most appropriate immediate management?