Listless. On examination, the child is drowsy with an extensive non-blanching rash

UK PLAB 1
#1
  1. A 7yo child is brought to the ED with a 1 day hx of being listless. On examination, the child is drowsy
    with an extensive non-blanching rash. What advice would you give the parents?
    a. All family members need antibiotic therapy
    b. Only the mother should be given rifampicin prophylaxis
    c. All family members need isolation
    d. All family members should be given rifampicin prophylaxis
    Ans. The key is D. All family members should be given rifampicin prophylaxis. [Meningococcal disease.
    Diagnosis is done with blood or CSF PCR. Initial prehospital management: Benzyl penicillin or
    cefotaxime].