A 3-month-old infant has fever, poor feeding and a bulging anterior fontanelle. What is the next step?

Answer and explanation

Correct answer: D. Lumbar puncture and empirical intravenous antibiotics

  1. Step 1: Suspected meningitis in an infant needs urgent antibiotics and CSF examination.
Answer
Lumbar puncture and empirical intravenous antibiotics.
Why not the others: Oral antibiotics at home, Reassurance and Discharge with paracetamol do not fit.

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