A 6 year old boy presents with 2 days of fever and vomiting. His parents are concerned as he has been very lethargic today.

Whilst in the waiting room he has become very sleepy although still rousable and they have noticed a rash on his legs.

Observations

A – self maintaining

B – RR 40, SpO2 96% in air

C – HR 158, CRT 3 secs, cool peripheries

D – V on AVPU

E – Petechial rash on torso, Temp 39.2°C.

QUESTIONS

Answer one question before attending the face-to-face teaching session. Add comments to answers already given if you think it's appropriate. The first part of teaching will be spent discussing this case:

  1. What is the diagnosis?

  2. What is your approach to treatment?

  3. Which antibiotic(s) will you administer and at what dose?

  4. Following a 40ml/kg fluid bolus and IV antibiotics, the heart rate is 146 and CRT 2-3 secs, what are the next management steps?

  5. Give 3 serious complications of this disease?

  6. Who should receive chemoprohylaxis in this case?

  7. What regimens for chemoprohylaxis are suitable for this disease?

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