Question

A 4-year-old boy is brought to the GP with fever, non-blanching purpuric rash on the legs, lethargy and a capillary refill time of 4 seconds. He appears ill and has a stiff neck. What is the most appropriate immediate management in primary care?

Accepted Answer

Give intramuscular or intravenous Benzylpenicillin and arrange urgent emergency transfer

Answer

Give oral Paracetamol and review in 4 hours

Answer

Arrange routine paediatric clinic referral

Answer

Order blood tests and await results before acting

Answer

Give topical antibiotic cream for the rash

Practice question

A 4-year-old boy is brought to the GP with fever, non-blanching purpuric rash on the legs, lethargy and a capillary refill time of 4 seconds. He appears ill and has a stiff neck. What is the most appropriate immediate management in primary care?