On the spot treatment neededBMJ 1994; 309 doi: https://doi.org/10.1136/bmj.309.6969.1661a (Published 17 December 1994) Cite this as: BMJ 1994;309:1661
- F A I Riordan,
- O Marzouk,
- A P J Thomson,
- J A Sills,
- C A Hart
- Johanne Holly research fellow, Lecturer, Honorary consultant paediatrician, Consultant paediatrician, Professor of medical microbiology, Institute of Child Health, Royal Liverpool Children's Hospital (Alder Hey), Liverpool L12 2AP.
EDITOR,—C S Nanayakkara and R Cox's letter highlights the confusion that exists between meningococcal meningitis and meningococcal septicaemia.1 Life threatening meningococcal disease presents not as meningitis but as septicaemia, often with a rash.2 Giving penicillin before admission to hospital may decrease the mortality from meningococcal disease3; penicillin should therefore be given to those …