Coronial
SAcustody

Coroner's Finding: Perre, Domenico

Deceased

Domenico Perre

Demographics

66y, male

Date of death

2023-05-09

Finding date

2026-10-23

Cause of death

haemoptysis from a cavitated lesion of the left lung with aspergillus and candida

AI-generated summary

A 66-year-old man serving a life sentence at Yatala Labour Prison died from haemoptysis caused by a cavitated lung lesion with aspergillus and candida infection. He had multiple chronic comorbidities including ischemic heart disease, Type 2 diabetes mellitus, and recurrent thromboembolism. In March 2022, lung cancer was incidentally detected during investigations but he repeatedly refused further investigation, anticoagulation treatment, and blood glucose monitoring despite explicit warnings of sudden death risk. In April 2023, he presented with bacterial pneumonia and severe diabetic ketoacidosis and was admitted to Royal Adelaide Hospital. He continued to deteriorate during his admission and died on 9 May 2023. The coroner found he had received appropriate healthcare throughout his custody and made no recommendations, concluding that his poor health outcomes resulted from his deliberate choices to refuse treatment and medications, rather than any deficiencies in prison healthcare provision.

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

Contributing factors

  • lung cancer with cavitation
  • aspergillus and candida infection
  • bacterial pneumonia
  • diabetic ketoacidosis
  • non-compliance with prescribed medications
  • refusal of medical investigations and treatment
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