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Pediatrics General 89426a16

A child presented with fever for 2 days, altered sensorium and purpuric rashes. His blood pressure is 90/60 mmHg. Treatment of choice is -

A
IV Quinine
B
IV Aesunate
C
IV Penicillin
D
Chloroquine
High-Yield Explanation
Ans. is 'c' i.e., Penicillin o The clinical presentation of fever, altered sensorium and purpuric rashes, is highly suggestive of meningiococcal meningitis. o Purpuric rash in quite characteristic of meningococcemia. o I.V. Penicillin is the treatment of choice for meningioccal inf. among the given options. o The DOC for meningiococcal infection is o 111rd generation cephalosporin e.g. Cefotoxime, Ceftriaxone.

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