More specific symptoms/signs: non-blanching rash, stiff neck, capillary refill time of more than 2 seconds, cold hands and feet, unusual skin colour, shock or hypotension, leg pain, back rigidity, bulging fontanelle, photophobia, Kernig's sign, Brudzinski's sign, Unconsciousness or toxic/moribund state, paresis, focal neurological deficit or seizures.