Paul Christopher George, a 64-year-old man with Borjeson-Forssman-Lehman Syndrome and dysphagia, died unexpectedly on 17 June 2024 while in the care of a support worker. He experienced repeated coughing fits during the day, including at a hotel while eating lunch and during the drive home. He then became acutely distressed with throat pain, lost consciousness, and could not be resuscitated despite prompt CPR. Autopsy revealed no significant natural disease, though likely food aspiration was noted. The cause of death was determined to be unascertained natural causes, possibly cardiac arrhythmia or seizure. Clinical lessons include the importance of recognising and responding to repeated coughing fits as a warning sign, particularly in patients with known dysphagia, and ensuring appropriate medical assessment when concerning symptoms develop.
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