Question

A 7-month-old infant presents with fever, irritability and bulging fontanelle. He is lethargic and difficult to rouse. What is the most appropriate immediate investigation in the emergency department?

Accepted Answer

Lumbar puncture without delay, unless contraindicated

Answer

CT head before lumbar puncture in all cases

Answer

EEG

Answer

No investigations before starting antibiotics

Answer

Outpatient MRI brain

Practice question

A 7-month-old infant presents with fever, irritability and bulging fontanelle. He is lethargic and difficult to rouse. What is the most appropriate immediate investigation in the emergency department?