Deceased
Melissa Irene Jones
Demographics
45y, female
Date of death
2015-09-19
Finding date
2019-05-08
Cause of death
methicillin resistant staphylococcus aureus (MRSA) endocarditis of the mitral valve with contributing chronic renal failure requiring dialysis
AI-generated summary
A 45-year-old woman with chronic renal failure requiring dialysis and bipolar disorder died of MRSA endocarditis of the mitral valve. She was detained under a Mental Health Act order due to manic episodes and non-compliance with dialysis. While acutely agitated, she removed her dialysis permacath on 26 August 2015, likely introducing infection. Despite immediate reinsertion and appropriate antibiotic therapy, sepsis developed and seeded to multiple organs. The coroner found care was appropriate and identified little that could have been done to prevent permacath removal or subsequent infection. The clinical lesson is that permacath infections carry high risk of bacteremia and sepsis even with standard precautions, and that psychiatric agitation in this context posed an inherent management challenge.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Drugs involved
Clinical conditions
Procedures
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