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Meningococcaemia — RCPSC EM MCQ

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ModerateInfectious disease emergenciesMeningococcaemiaRCPSC EM

A 19-year-old university student has fever, headache, myalgia, rapidly progressive purpuric rash, and confusion. Blood pressure is 84/48 mmHg and lactate is 4.7 mmol/L. Several roommates are in the waiting room. What is the most appropriate initial management?

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Correct answer: B — Droplet precautions, ceftriaxone, sepsis resuscitation, and public health notification

Meningococcaemia causes septic shock and purpura and requires immediate ceftriaxone, droplet precautions, resuscitation, and public health involvement for contact prophylaxis.

Reference: Public Health Agency of Canada meningococcal guidance; Surviving Sepsis Campaign