A 23-month-old boy presenting with fever, hypotension, repeated vomiting, meningeal signs, petechiae, and ecchymosis. The CBC shows 25,000 leukocytes (75% neutrophils, 10% white blood cells) and 12,000 platelets/microL, and the coagulation study shows a prothrombin activity of 35%. Which option is NOT appropriate for management?
Patient with suspected meningococcal sepsis. Stabilization with fluids (hypotension) according to ABCDE is essential. Blood culture can be obtained together with the initial blood test. Early initiation of antibiotic therapy (cefotaxime) is essential. However, in an unstable patient such as ours, a lumbar puncture is not indicated.
Intravenous cefotaxime administration.
Lumbar puncture.
Collection of blood culture.
Intravenous fluids.
Early initiation of antibiotic therapy (cefotaxime) is essential.
However, in an unstable patient such as ours, a lumbar puncture is not indicated.
Blood culture can be obtained together with the initial blood test.
Patient with suspected meningococcal sepsis. Stabilization with fluids (hypotension) according to ABCDE is essential.