A 7-year-old girl presents with a 2-day history of fever, non-blanching purpuric rash over her legs, neck stiffness and photophobia. She appears drows...

Question

A 7-year-old girl presents with a 2-day history of fever, non-blanching purpuric rash over her legs, neck stiffness and photophobia. She appears drowsy. What is the most appropriate immediate management?

Accepted Answer

Administer intramuscular or intravenous Benzylpenicillin and arrange emergency transfer to hospital

Answer

Give oral Amoxicillin and refer to paediatrics routinely

Answer

Arrange routine outpatient review with paediatrics

Answer

Observe in the surgery for 4 hours before deciding

Answer

Perform lumbar puncture in the GP surgery

uk-plab-1 MCQ (SBA): Meningococcal sepsis

A 7-year-old girl presents with a 2-day history of fever, non-blanching purpuric rash over her legs, neck stiffness and photophobia. She appears drowsy. What is the most appropriate immediate management?