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.
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Specialties
general medicineinfectious diseasespalliative careorthopaedic surgery
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