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Meningococcaemia — RCPSC EM MCQ

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HardInfectious disease emergenciesMeningococcaemiaRCPSC EM

A 17-year-old university student presents with fever, confusion, leg pain, and a rapidly spreading non-blanching purpuric rash. BP is 88/50 mmHg and lactate is 4.0 mmol/L. Two roommates are in the waiting room. What is the most appropriate initial management?

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Correct answer: C — Give ceftriaxone immediately, resuscitate, isolate with droplet precautions, and notify public health

Give ceftriaxone immediately, resuscitate, isolate with droplet precautions, and notify public health is correct: the clues indicate Meningococcaemia and this option addresses the immediate ED priority. The distractors delay care, target a less likely problem, or are unsafe in this physiology.

Reference: Canadian meningococcal disease/public health practice