Question

A 15-month-old child presents with fever, irritability and reduced oral intake. Examination shows bulging fontanelle, neck stiffness and petechial rash. Which is the most appropriate immediate management?

Accepted Answer

Immediate intravenous broad-spectrum antibiotics and urgent transfer to hospital

Answer

Oral amoxicillin in the clinic

Answer

Urgent lumbar puncture before antibiotics in all cases

Answer

Observation at home with safety-netting

Answer

Topical antibiotics only

Practice question

A 15-month-old child presents with fever, irritability and reduced oral intake. Examination shows bulging fontanelle, neck stiffness and petechial rash. Which is the most appropriate immediate management?