Coronial
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Inquest into the death of Queenie Michaels

Deceased

Queenie Michaels

Demographics

11y, female

Date of death

2002-11-06

Finding date

2003-07-31

Cause of death

pneumonia complicating cytomegalovirus embryopathy

AI-generated summary

Queenie Michaels, an 11-year-old Aboriginal girl with cytomegalovirus embryopathy and severe physical and cognitive disabilities, died from pneumonia at home while in government care. She had been fostered by Mr and Mrs Bevan since age 21 months, receiving exceptional care including medical management of multiple complications (epilepsy, aspiration risk, spinal deformity, recurrent infections). By 2001, her condition deteriorated significantly with progressive respiratory compromise and spinal deformity. After determining she was too medically compromised for spinal fusion surgery, a decision was made for palliative rather than aggressive treatment. She received excellent end-of-life care at home with daily medical support from her paediatrician. The coroner found no clinical failures—care was exemplary throughout her life, with appropriate escalation decisions and family-centred management of her terminal illness.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.

Specialties

paediatricsneurologypalliative carerespiratory medicine

Drugs involved

anti-convulsants

Clinical conditions

cytomegalovirus embryopathymicrocephalysevere developmental delayspastic quadraparesisepilepsydysphagiaaspirationgastro-oesophageal refluxrecurrent pneumoniaspinal deformityupper airway obstructionpneumonia

Procedures

feeding tube insertionnasogastric tube insertionhip reduction and fixationgastro-oesophageal reflux surgery

Contributing factors

  • cytomegalovirus embryopathy with progressive neurological deterioration
  • severe physical disabilities including spastic quadraparesis
  • chest wall deformity secondary to spinal curvature
  • recurrent aspiration risk from dysphagia
  • gastro-oesophageal reflux
  • progressive respiratory compromise from spinal deformity
  • upper airway obstruction intermittent episodes

Coroner's recommendations

  1. Refer transcript and findings to the Attorney-General and Chief Minister
  2. Urge the Chief Minister to appropriately recognise Mr and Mrs Bevan for their exceptional care of Queenie and other dependent children
  3. Consider public recognition for Dr Tors Clothier for his exemplary medical care
Full text

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