Coronial
SAhospital

Coroner's Finding: CAILES Kevin Arnold

Deceased

Kevin Arnold Cailes

Demographics

53y, male

Date of death

2013-12-25

Finding date

2016-08-04

Cause of death

sepsis due to spontaneous bacterial peritonitis on a background of end stage liver failure

AI-generated summary

Kevin Arnold Cailes, 53, died from sepsis due to spontaneous bacterial peritonitis on a background of end-stage liver failure. He had cirrhosis diagnosed in 2011 with alcoholism as the likely cause, and despite repeated medical advice to cease drinking, he increased his alcohol consumption. He developed hepatic encephalopathy with confusion, disorientation, and declining functional capacity. Following arrest and bail conditions, he was admitted to hospital on 1 December 2013 where his condition progressively deteriorated over three weeks. By 20 December, he developed fever and E. coli sepsis secondary to spontaneous bacterial peritonitis. All active treatments were ceased and palliative care provided. The coroner found the medical treatment administered during incarceration and hospitalisation was lawful and appropriate, with no recommendations made.

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

Specialties

hepatologyinfectious diseasespalliative careemergency medicine

Drugs involved

diureticssedativesmorphine

Clinical conditions

sepsisspontaneous bacterial peritonitisend-stage liver failurecirrhosishepatic encephalopathyE. coli infectionbacteraemia

Contributing factors

  • cirrhosis of the liver with alcoholism
  • hepatic encephalopathy
  • advanced stage liver failure with Child C cirrhosis
  • chronic alcoholism and non-compliance with medical advice
  • cognitive decline and confusion
  • poor functional capacity
Full text

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