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Meningococcal sepsis — RACP Written MCQ

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EasyInfectious DiseasesMeningococcal sepsisRACP Written

A 20-year-old university student has fever, headache and a non-blanching purpuric rash. Blood pressure is 88/50 mmHg and neck stiffness is present. What is the most important next step?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: DImmediate empiric intravenous ceftriaxone and sepsis resuscitation

Purpuric rash, meningism and shock suggest meningococcal sepsis. Empiric parenteral antibiotics and sepsis resuscitation are urgent.

Reference: Therapeutic Guidelines: Antibiotic; Australian infectious diseases practice principles