A 21-year-old university student presents with fever, headache, photophobia and a non-blanching purpuric rash on the trunk. He is drowsy but rousable....

Question

A 21-year-old university student presents with fever, headache, photophobia and a non-blanching purpuric rash on the trunk. He is drowsy but rousable. What is the most appropriate immediate management in primary care before transfer?

Accepted Answer

Give intramuscular Benzylpenicillin and arrange emergency transfer to hospital

Answer

Give oral Paracetamol and arrange routine clinic review

Answer

Arrange urgent lumbar puncture before antibiotics

Answer

Give oral Amoxicillin and review in 24 hours

Answer

Wait for blood culture results before treatment

uk-plab-1 MCQ (SBA): Suspected meningococcal sepsis

A 21-year-old university student presents with fever, headache, photophobia and a non-blanching purpuric rash on the trunk. He is drowsy but rousable. What is the most appropriate immediate management in primary care before transfer?