23: 15-year-old female with lethargy and headache

Question 1

What’s the best prophylaxis for adult close contacts of kids with meningitis?

Answer 1

Ciprofloxacin

Question 2

What’s the best prophylaxis for kid close contacts of kids with meningitis?

Answer 2

Oral rifampin or IM ceftriaxone

Question 3

What’s the first and most subtle, but also most sensitive sign of inadequate perfusion?

Answer 3

Tachycardia

Question 4

Is BP a sensitive measure of volume status?

Answer 4

No

Question 5

What’s the best initial drug combo for meningitis?

Answer 5

Ceftriaxone + Vancomycin

Question 6

If meningococcal disease diagnosis is made definitively, what abx can you switch to?

Answer 6

Penicillin