A 22 yr. old man was complaining of a headache & saidthat light hurt his eyes. His Gp was called and observedthat the ptnt was pyrexia & disorientated & that he hada stiff neck.A provisional diagnosis of Meningococcal meningitiswas made.He gave the ptnt an injection of Benzylpeniccilin&arranged for his admission to hospital. On admissionit was noted that the patient had dvp a petechial rushthat did not blanch on pressure &that he washypotensive.
Blood was taken for culture & a full blood count
As there was no evidence of papilloedema, a lumbarpuncture was performed.