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Meningococcemia — ABFM Board MCQ

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ModerateInfectious diseaseMeningococcemiaABFM Board

A 19-year-old college student has fever, headache, photophobia, and a nonblanching petechial rash. Blood pressure is 92/58 mm Hg and neck stiffness is present. Which of the following is the most appropriate next step?

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Correct answer: A — Immediate parenteral ceftriaxone and emergency transfer

Suspected meningococcemia or bacterial meningitis with petechial rash and sepsis signs requires immediate parenteral antibiotics and emergency transfer. Treatment should not wait for confirmatory testing.

Reference: IDSA Bacterial Meningitis Guideline