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Meningococcal sepsis — RCPSC EM MCQ

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HardInfectious disease emergenciesMeningococcal sepsisRCPSC EM

A 44-year-old man presents CTAS 1 with fever, confusion, petechiae, BP 78/40, HR 146, and neck stiffness. Lactate is 6.2 mmol/L and platelets are 54 x 10^9/L. CT is not immediately available. What is the most appropriate next step?

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Correct answer: B — Give ceftriaxone immediately with sepsis resuscitation and droplet precautions

Suspected meningococcal septic shock requires immediate parenteral antibiotics, resuscitation and infection-control precautions; imaging or LP must not delay treatment.

Reference: CAEP sepsis guidance; Emergency Care BC sepsis guideline