Question

A 3-year-old boy presents with fever, non-blanching purpuric rash, lethargy and photophobia. Capillary refill is 4 seconds. What is the most appropriate immediate action in primary care before transfer to hospital?

Accepted Answer

Give intramuscular Benzylpenicillin and arrange urgent ambulance transfer

Answer

Give oral Paracetamol and observe

Answer

Await blood test results before treatment

Answer

Prescribe oral Amoxicillin and review in 24 hours

Answer

Reassure and send home

Practice question

A 3-year-old boy presents with fever, non-blanching purpuric rash, lethargy and photophobia. Capillary refill is 4 seconds. What is the most appropriate immediate action in primary care before transfer to hospital?