A 44-year-old man with acute myeloid leukemia died in St Augustine's secure ward at St Vincent's Hospital on 18 February 2020. He had been under treatment for refractory AML since June 2019, with disease progression despite multiple lines of chemotherapy. He was admitted to the secure ward on 1 January 2020 after presenting with fevers, low blood count, and disease progression. His condition deteriorated over six weeks with acute pulmonary oedema and sepsis complications. He collapsed on 18 February and was declared dead at 1:25 pm. The coroner found no clinical deficiencies in his management. His death from natural causes (AML) was unpreventable given the aggressive, refractory nature of his disease. The case highlights the challenges of managing advanced haematological malignancies in custodial settings.
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