Jane Laura Gooding, a 39-year-old woman with cerebral palsy, epilepsy, and blindness living in residential care, presented to Knox Private Hospital with fever, shortness of breath, vomiting, abdominal pain, and hypotension. She was intubated and admitted to ICU with suspected sepsis. CT imaging revealed bilateral consolidation and pericardial effusion; echocardiography confirmed tamponade, treated surgically by drainage. Despite initial haemodynamic improvement, she developed multiorgan dysfunction including acute kidney injury, liver failure, and pneumonia with ongoing seizures. After discussion with family regarding her poor prognosis given comorbidities and inability to tolerate foreign environments, comfort measures were implemented and she died. The coroner found natural causes (multiorgan failure from probable sepsis). The family expressed satisfaction with care provided.
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