Coronial
QLDhospital

Burrows, Frank Leslie

Deceased

Frank Leslie Burrows

Demographics

58y, male

Coroner

Ryan

Date of death

2016-11-23

Finding date

2019-12-05

Cause of death

Haemophagocytic lymphohistiocytosis, due to or as a consequence of T-cell lymphoma (nasal type)

AI-generated summary

Frank Burrows, a 58-year-old male prisoner, died from Haemophagocytic Lymphohistiocytosis (HLH) secondary to T-cell lymphoma. He presented with non-specific symptoms (fever, sweats, diarrhoea) and was initially discharged from hospital on 10 November 2016, then readmitted 2 days later. Diagnosis of HLH was made on 16 November, but despite ICU management, he deteriorated rapidly into multi-organ failure and died 7 days later. A forensic medical review found that while earlier haematology review might have diagnosed HLH marginally sooner, the outcome would not have changed given the rarity of the condition, rapid progression, and the 11-day interval between admission and death. Prison medical care was thorough and hospital care was comprehensive and appropriate. No preventable factors were identified.

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

Specialties

general medicinehaematologyinfectious diseasesgastroenterologycardiologyrheumatologyintensive carecorrectional health

Drugs involved

dexamethasoneetoposidemorphineantibiotics

Clinical conditions

Haemophagocytic LymphohistiocytosisT-cell lymphomasepsis-like presentationmulti-organ failuredisseminated intravascular coagulationcerebral dysfunctionmorbid obesitymicrocytic anaemiamediastinal lymphadenopathy

Procedures

endoscopycolonoscopyCT scanningechocardiographyMRIbone marrow trephine biopsyintubationmechanical ventilationdialysisextubation

Contributing factors

  • rare and rapidly progressive condition
  • aggressive disseminated malignancy
  • multi-organ failure development
  • immune activation triggered by malignancy
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