Andrew McNeil, a 36-year-old man with cerebral palsy and intellectual disability, died from metastatic non-seminomatous germ cell testicular cancer with extensive lung metastases. He was initially presented with suspected chest infection on 8 July 2019, which was diagnosed as advanced metastatic cancer on imaging. Following symptom deterioration with severe dyspnea and pleural effusion on 30 July 2019, he was transferred to palliative care where he died 9 days later. The coroner found death resulted from natural causes. While no clinical errors were identified, the case highlights the importance of early recognition and appropriate investigation of respiratory symptoms in vulnerable populations with intellectual disability, ensuring timely palliative care discussions and family involvement in care planning.
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