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Meningococcal sepsis — PARA MCQ

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HardEmergency presentations - InfectionMeningococcal sepsisPARA

A 20-year-old man has fever, photophobia, neck stiffness and a non-blanching rash. Blood pressure is 90/55 mmHg and capillary refill time is 4 seconds. What is the most important next step?

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Correct answer: D — Urgent sepsis and meningitis pathway with immediate parenteral antibiotics after cultures if this does not delay treatment

Suspected meningococcal disease with shock requires immediate emergency treatment and escalation; antibiotics should not be delayed by investigations.

Reference: NICE NG240: Meningitis; NICE NG51: Sepsis