Finding into death of Stephen Johnson
Deceased
Stephen James Johnson
Demographics
47y, male
Date of death
2008-03-20
Finding date
2011-09-19
Cause of death
Multiple organ failure due to Aeromonas Sobria sepsis in a man with cirrhosis
AI-generated summary
Stephen Johnson, a 47-year-old teacher, died from sepsis caused by Aeromonas Sobria bacteria acquired through a cut hand exposure to contaminated farm water. He presented to hospital with non-specific symptoms and elevated liver markers, which were initially attributed to possible alcohol-related liver disease. Despite appropriate investigations and antibiotics once the organism was identified, his condition deteriorated with necrotizing fasciitis and multi-organ failure. The coroner found hospital care was timely and appropriate. The death was not preventable by hospital clinicians, though the underlying susceptibility (undiagnosed cirrhosis making him immunocompromised) combined with occupational water exposure created fatal circumstances. The case highlights the importance of occupational health controls, wound care, and hygiene when working with untreated water on farms, particularly for individuals with chronic liver disease.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Specialties
Error types
Clinical conditions
Contributing factors
- Undiagnosed cirrhosis causing immunocompromise
- Occupational exposure to contaminated farm water
- Hand wound sustained while fixing water trough
- Aeromonas Sobria bacteria present in untreated dam and trough water
- Delay in identifying causative organism
- Severe underlying comorbidities including cirrhosis and coronary atherosclerosis
Coroner's recommendations
- Personal hygiene is paramount when working or visiting farms, particularly with dams and trough water
- Staff, students and visitors to school farms should be advised and reminded of possible risks of exposure to bacteria and organisms from contact with dams and trough water
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