Meningococcal Disease and Meningococcal Meningitis

The following statements relate to the epidemiology and pathophysiology of Neisseria Meningitidis. Which statement is correct?

Which of the following observations would be concerning in an awake 4-year-old child with a non blanching petechial rash, who has had 2 x 20 mls/kg fluid boluses and antibiotics?

A 1-year-old child presents with a fever and irritability. Which one of the following is a recognised early clinical feature of meningococcal septicaemia?

Which statement is true regarding scoring systems for meningococcal disease or meningococcal meningitis?

Which investigation would not be indicated early in the management of a stable patient suspected to have invasive meningococcal disease (IMD)?

A 10-week-old baby presents unwell with a petechial rash. Initial observations were HR 165, CRT 5 seconds, poor volume pulse, cold limbs, responding to pain.

In the last 20 minutes, IO cefotaxime 50 mg/kg and ampicillin have been administered. 40 ml/kg of sodium chloride 0.9% bolus has been given. No intravenous access is available.

Currently, temperature is 38.5 degrees Celsius, CRT 4 seconds, HR 140, BP 80/50, RR 36, Peripheral oxygen saturation 92%.

Which of the following actions would you not be considering at this stage?

A 15-year-old Asian male presents with temp 37.8°C, headache, is uncooperative and very agitated, HR 45-55 sinus rhythm, BP 169/100, saturations 95%. He has no significant past medical history apart from recent episode of vomiting and loose motions. Blood glucose 7.0.

In order to manage this patient what needs to be done?

Contraindications to lumbar puncture in an unwell 5-year-old child with suspected meningococcal disease include…

Poor prognostic factors at presentation for children with IMD include?

Antibiotic prophylaxis is not required for which of the following?

Select one or more options.