Deceased
LM
Demographics
9y, female
Coroner
Coroner Caitlin English
Date of death
2018-03-15
Finding date
2019-07-29
Cause of death
Acute exacerbation of asthma on a background of anaphylaxis
AI-generated summary
A 9-year-old girl with known egg allergy and asthma died from acute exacerbation of asthma on a background of anaphylaxis after consuming a Cadbury Chocolate Chip Cookie containing egg. The cookie was purchased in packaging nearly identical to an egg-free variety previously tolerated. Despite receiving specialist asthma education and management at the Royal Children's Hospital, with improved lung function documented weeks before death, the fatal allergic reaction occurred when the wrong cookie product was inadvertently selected. The coroner found food labelling complied with all legal requirements and AFGC recommendations. The investigation examined whether packaging differentiation, allergen symbols, or mandatory packaging changes when ingredients change could have prevented this tragedy. No clinical care failures were identified; the death resulted from accidental allergen exposure due to packaging similarity.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Error types
Drugs involved
Clinical conditions
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