A 7-year-old boy presents with a petechial rash, fever and neck stiffness. Suspected meningococcal sepsis is diagnosed in a rural ED. What is the most...

Question

A 7-year-old boy presents with a petechial rash, fever and neck stiffness. Suspected meningococcal sepsis is diagnosed in a rural ED. What is the most appropriate immediate management before transfer?

Accepted Answer

Administer high-dose intravenous third-generation cephalosporin immediately and arrange urgent transfer

Answer

Await blood culture results before antibiotics

Answer

Start oral antibiotics and review in 24 hours

Answer

Give steroids only

Answer

Observe as the rash may be viral

au-acem MCQ (SBA): Meningococcal sepsis

A 7-year-old boy presents with a petechial rash, fever and neck stiffness. Suspected meningococcal sepsis is diagnosed in a rural ED. What is the most appropriate immediate management before transfer?