Coronial
VIChospital

Finding into death of Danielle Elizabeth Peters

Deceased

Danielle Elizabeth Peters

Demographics

40y, female

Coroner

Coroner Paul Lawrie

Date of death

2022-10-01

Finding date

2023-11-29

Cause of death

Sepsis secondary to ureteritis, pyelonephritis and aspiration pneumonia with a contributing factor of cerebral palsy

AI-generated summary

A 40-year-old woman with cerebral palsy, autism, and schizoaffective disorder living in specialist disability accommodation died from sepsis secondary to ureteritis, pyelonephritis, and aspiration pneumonia. She had sustained a femur fracture from an unwitnessed fall in early September and recovered well after surgical treatment. Two weeks after discharge, she was readmitted with sepsis and aspiration pneumonia—a recurrent complication in her history. Despite appropriate intravenous antibiotics, supportive care including blood transfusions and albumin, and escalation to palliative care, she deteriorated from worsening bilateral pleural effusions causing hypoxia and acidosis. The coroner found that the care and medical treatment received was appropriate. The case highlights the vulnerability of severely disabled patients to aspiration pneumonia and urinary tract infections, and the importance of preventive strategies in this population, though no preventable errors were identified.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.

Specialties

general medicineinfectious diseasespalliative careorthopaedic surgery

Clinical conditions

sepsisureteritispyelonephritisaspiration pneumoniacerebral palsyautismschizoaffective disorderbilateral pleural effusionshypoxiaacidosisfemoral neck fracture

Procedures

open reduction and internal fixation of femoral neck fractureblood transfusionoxygen supplementation

Contributing factors

  • cerebral palsy with immobility and bedbound status
  • long-term suprapubic catheter
  • aspiration pneumonia
  • pyelonephritis
  • ureteritis
  • recurrent aspiration pneumonia history
Full text

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