Giovanni John Miceli, a 53-year-old man with cerebral palsy and intellectual disability living in specialist disability accommodation, died from sepsis secondary to aspiration pneumonia. He had a known history of recurrent chest infections and swallowing disorder. He presented to hospital with fever and unusual breathing on 29 September 2024 and deteriorated despite appropriate antibiotic and fluid management. The coroner found that care at both the disability accommodation and hospital was appropriate. This case highlights the vulnerability of individuals with swallowing disorders to aspiration pneumonia, the importance of recognising early signs of sepsis in this population, and the challenge of managing end-of-life care in patients with severe disability. Preventive measures for aspiration risk and early recognition of infection signs remain critical.
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