Q:

A 7 year old child is brought to the emergency department with a 1 day history of being listless. On examination, the child is drowsy with an extensive non-blanching rash. What advice would you give the parents?

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A 7 year old child is brought to the emergency department with a 1 day history of being listless. On examination, the child is drowsy with an extensive non-blanching rash. What advice would you give the parents?


  1. All family members need antibiotic therapy
  2. Only the mother should be given rifampicin prophylaxis
  3. All family members need isolation
  4. All family members should be given rifampicin prophylaxis

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The key is D. All family members should be given rifampicin prophylaxis. [Diagnosis is meningococcal meningitis. All contacts need rifampicin prophylaxis].

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