A 2-year-old girl presents with a 1-day history of fever and a non-blanching rash. On examination, she is irritable and has a generalized petechial ra...

Question

A 2-year-old girl presents with a 1-day history of fever and a non-blanching rash. On examination, she is irritable and has a generalized petechial rash. Her temperature is 39.0°C, heart rate 160 bpm, capillary refill time 3 seconds. What is the most appropriate immediate management in the primary care setting?

Accepted Answer

Administer intramuscular Benzylpenicillin and arrange urgent hospital transfer

Answer

Administer intravenous Cefotaxime

Answer

Administer oral Amoxicillin and review in 24 hours

Answer

Perform urgent lumbar puncture

Answer

Reassure and advise safety netting

mrcgp akt MCQ (SBA): Meningococcal Disease