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Coroner's Finding: Infant F - De-identified

Demographics

2y, male

Date of death

2021-02-21

Finding date

2022-09-20

Cause of death

unexplained sudden death

AI-generated summary

A previously healthy 2-month-old infant died unexpectedly during sleep. Post-mortem examination revealed aspiration of gastric contents with early aspiration pneumonia, rhinovirus infection, and trace amounts of fluoxetine metabolite (from maternal breastfeeding). The coroner found no strong evidence that maternal fluoxetine use was a contributory risk factor, noting expert consensus supports continuing this antidepressant during lactation when maternal mental health is stable. Parents had implemented all recommended safe-sleep practices. The death was classified as unexplained sudden infant death with multiple possible contributors but no preventable factors identified.

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

Specialties

paediatricsmidwiferygeneral practiceforensic medicine

Drugs involved

fluoxetine

Clinical conditions

sudden infant death syndromerhinovirus infectionaspiration pneumoniagastric aspiration

Contributing factors

  • rhinovirus upper respiratory tract infection
  • aspiration of gastric contents with early aspiration pneumonia
  • possible extrinsic factor of fluoxetine exposure via breastmilk (though no strong evidence of causal contribution)
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