Question

A 10-month-old boy presents with fever, irritability, poor feeding and a stiff neck. On examination he is drowsy and photophobic with a bulging fontanelle. You suspect bacterial meningitis. According to paediatric emergency guidelines, what is the most appropriate immediate management?

Accepted Answer

Administer high-dose intravenous antibiotics and dexamethasone promptly, after blood cultures and before or without lumbar puncture if delayed

Answer

Arrange urgent CT brain then lumbar puncture before treatment

Answer

Perform lumbar puncture immediately without antibiotics

Answer

Give oral antibiotics and review in 12 hours

Answer

Observe without treatment while awaiting blood test results

Practice question

A 10-month-old boy presents with fever, irritability, poor feeding and a stiff neck. On examination he is drowsy and photophobic with a bulging fontanelle. You suspect bacterial meningitis. According to paediatric emergency guidelines, what is the most appropriate immediate management?