Mr B, a 60-year-old man with end-stage multiple system atrophy, was admitted to Box Hill Hospital on 5 June 2025 with respiratory distress, dysphagia, and recent upper respiratory tract infection. His condition progressively deteriorated despite intravenous antibiotic therapy. In consultation with family, he was transitioned to comfort care and died on 8 June 2025. The death was natural and expected given his terminal neurodegenerative condition. No clinical errors or preventable factors were identified. The case highlights appropriate end-of-life decision-making and symptom management in progressive neurological disease.
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