Coronial
VIChospital

Finding into death of Elizabeth Shine

Deceased

Elizabeth Shine

Demographics

64y, female

Coroner

State Coroner Judge John Cain

Date of death

2023-04-20

Finding date

2024-12-09

Cause of death

End stage renal failure in the setting of sepsis

AI-generated summary

Elizabeth Shine, a 64-year-old NDIS participant living in Specialist Disability Accommodation, died from end-stage renal failure complicated by sepsis. She presented with a blocked parotid gland treated with antibiotics. Although initially improving, she developed severe aspiration pneumonia following vomiting episodes. A drainage procedure was deemed unsuitable due to her Stage 5 renal failure. The coroner found no clinical management failures by either the SIL provider or Casey Hospital staff. The death resulted from natural causes in a vulnerable adult with significant comorbidity. This case highlights the complexity of managing infection in advanced renal disease and the importance of appropriate clinical decision-making regarding invasive procedures in patients with multiple organ dysfunction.

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

Specialties

general medicinenephrologyinfectious diseases

Drugs involved

antibiotics

Clinical conditions

end-stage renal failureStage 5 chronic kidney diseasesepsisparotitisparotid gland obstructionaspiration pneumonia

Contributing factors

  • sepsis secondary to parotid gland infection
  • severe aspiration pneumonia
  • Stage 5 chronic kidney disease
  • vomiting episodes
Full text

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