Coronial
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Coroner's Finding: Lowery, Nahuel Sebastian

Deceased

Nahuel Sebastian Lowery

Demographics

41y, male

Date of death

2022-01-24

Finding date

2026-02-26

Cause of death

Acute liver failure with contributing Castleman's disease

AI-generated summary

A 41-year-old Aboriginal man with HIV and Castleman's disease died from acute liver failure while on home detention. He had variable compliance with antiretroviral therapy, exacerbated by amphetamine use disorder and mental health issues. During detention, he declined in health but Department for Correctional Services appropriately monitored him and provided medical passouts. When he presented to hospital in January 2022 with septic shock and multi-organ failure, paramedics and hospital staff provided comprehensive investigations and treatment. Palliative care was appropriately initiated on day 4 of admission with timely administration of comfort medications. The coroner found no criticism of care providers and that DCS supervision was adequate, though noted DCS should monitor for conditions of squalor in future cases.

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

Specialties

infectious diseasesintensive caregastroenterologyhaematologypsychiatrypalliative careparamedicine

Drugs involved

antiretroviral therapyhydromorphoneclonazepamdexamethasonemethamphetamine

Clinical conditions

HIV/AIDSmulticentric Castleman's diseaseacute liver failureseptic shockanaemiathrombocytopeniaportal hypertensioncirrhosisCMV viremiaKaposi's sarcomaamphetamine use disorderattention deficit hyperactivity disordermajor depression

Procedures

CPRintubationintravenous vasopressorsblood transfusionCT scanultrasoundchest X-raylymph node biopsy

Contributing factors

  • Variable compliance with HIV antiretroviral therapy
  • Progressive multicentric Castleman's disease
  • Undertreated HIV infection
  • Amphetamine use disorder
  • Poor health at time of presentation
Full text

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