A 62-year-old woman died in a house fire that originated from an unattended cooking pot on the stovetop left in the 'on' position. She had a history of bipolar disorder managed with medication and sertraline, and significant hoarding behaviour that accumulated items throughout her home. At the time of the fire, she had consumed alcohol (blood alcohol 0.08 g/100mL). She inhaled smoke and was deceased when found on the kitchen floor. The fire spread rapidly through the cluttered home. No smoke detectors were present. While this was an accidental death, clinical lessons include recognition that patients with hoarding disorder and psychiatric illness may benefit from home safety interventions, assessment of fire risk in homes with significant clutter, and consideration of supervised cooking practices or assistive technology for vulnerable individuals living alone.
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