Which action is appropriate when a child presents with opisthotonos and fever?

• A. Refer the child for immediate medical evaluation
• B. Provide home care and monitor for 24 hours
• C. Give a cold compress and send home
• D. Schedule a follow-up in 2 weeks

Answer: (A)

Opisthotonos signals significant central nervous system irritation, and in a child this posture paired with fever points to a potentially life-threatening infection such as meningitis. Meningitis can progress rapidly, so urgent medical evaluation is essential to promptly assess for CNS infection, initiate appropriate treatment, and perform necessary diagnostic tests (like blood work and possibly a lumbar puncture when safe). Delaying care or attempting home remedies would miss early, critical intervention and could lead to serious complications. Therefore, immediate referral for medical assessment is the safest and most appropriate action.