Answer:USMLE step 2 Mcq 113:A 6 year old with a two day history of a severe headache develops fever and a spreading purplish rash




Correct Answer: C

In meningitis, fever and nuchal rigidity usually follow a headache. Most children with meningitis appear ill and lethargic and may complain of headache, stiff neck, and body pains. Frequently, they have a fever and a rash. Infants can be unusually fussy, irritable, and sleepy. They may feed poorly and not be comforted by holding.In some severe forms of meningitis, particularly meningococcal meningitis, there may be shock, confusion, decreased responsiveness, and a spreading purplish rash.


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