A 19-year-old university student presents to his GP with fever, headache, photophobia and a non-blanching purpuric rash on his legs. He appears drowsy...

Question

A 19-year-old university student presents to his GP with fever, headache, photophobia and a non-blanching purpuric rash on his legs. He appears drowsy and has a neck stiffness. What is the single most appropriate immediate management in primary care?

Accepted Answer

Give intramuscular Benzylpenicillin and call 999 for urgent transfer

Answer

Arrange urgent outpatient CT head

Answer

Give oral Amoxicillin and send to A&E by car

Answer

Reassure and review in 4 hours

Answer

Refer for same-day outpatient neurology review

uk-plab-1 MCQ (SBA): Meningococcal meningitis/septicaemia

A 19-year-old university student presents to his GP with fever, headache, photophobia and a non-blanching purpuric rash on his legs. He appears drowsy and has a neck stiffness. What is the single most appropriate immediate management in primary care?