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Coroner's Finding: Menzies, Jason Douglas

Deceased

Jason Douglas Menzies

Demographics

33y, male

Date of death

2022-12-19

Finding date

2025-11-14

Cause of death

Marburg variant of multiple sclerosis

AI-generated summary

Jason Menzies, aged 33, died in custody from Marburg variant multiple sclerosis after rapid neurological deterioration. He initially presented with urinary retention on 1 December 2022, which was appropriately investigated. When acute neurological symptoms emerged on 3 December, he received comprehensive investigations including MRI, lumbar puncture, and broad-spectrum antibiotics. A neurologist appropriately recommended plasma exchange and corticosteroids. The coroner found no diagnostic or treatment failures—this rare, fulminant demyelinating disease progresses too rapidly for earlier diagnosis to have prevented death. The standard of medical care was appropriate throughout, both in prison health and at the Royal Adelaide Hospital.

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

Specialties

emergency medicinegeneral medicineneurologyintensive carecorrectional health

Drugs involved

amitriptylinepericiazinebuprenorphineantibioticsmethylprednisoloneplasma exchange

Clinical conditions

Marburg variant multiple sclerosisacute demyelinating encephalomyelitishuman metapneumovirus infectionEpstein-Barr virus infectionurinary retentionmeningoencephalitisdemyelinating disease

Procedures

intubationventilationlumbar punctureplasma exchangeCT brain scanMRI brain and spinal cordcatheter insertion

Contributing factors

  • rapid progression of fulminant demyelinating disease
  • human metapneumovirus respiratory tract infection
  • possible prior Epstein-Barr virus infection
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