Question

A 3-year-old boy presents with fever, non-blanching petechial rash, lethargy and prolonged capillary refill. BP is low and he appears shocked. What is the most appropriate immediate management?

Accepted Answer

Give IM or IV Benzylpenicillin immediately and urgent transfer to hospital

Answer

Send blood cultures and wait for results

Answer

Give oral Amoxicillin and review in 6 hours

Answer

Observe in A&E without treatment

Answer

Give topical steroid cream for the rash

Practice question

A 3-year-old boy presents with fever, non-blanching petechial rash, lethargy and prolonged capillary refill. BP is low and he appears shocked. What is the most appropriate immediate management?