Aspiration pneumonia in a woman with epilepsy and intellectual disability
AI-generated summary
Kerri Michelle Moore, a 55-year-old woman with intellectual disability, epilepsy, and progressive neurological deficit, died from aspiration pneumonia. She was admitted with status epilepticus, treated with antibiotics and mechanical ventilation in ICU, then extubated. Despite initial improvement, she developed worsening infection markers and fever. After discussion, the clinical team transitioned to palliative care. The coroner found the care provided by both the community group home and hospital to be reasonable and appropriate. The family expressed satisfaction with care. This case highlights the risks of aspiration in patients with epilepsy and neurological disability, and the importance of appropriate infection management and timely decisions regarding level of care intensity in this vulnerable population.
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