Deceased
Armarnie-Bree ELLIOTT
Demographics
2y, female
Coroner
Coroner King
Date of death
2012-05-03
Finding date
2015-07-22
Cause of death
pneumonia in a child with reported recent flu-like illness (multiple viral detection including adenovirus DNA and enterovirus/rhinovirus RNA – respiratory system) and oxycodone effect
AI-generated summary
Armarnie-Bree Elliott, a 2-year-old child with Angelman syndrome, died from severe pneumonia with multiple viral infections (adenovirus and enterovirus/rhinovirus) complicated by toxic levels of oxycodone detected at post-mortem. The deceased developed flu-like symptoms in late April 2012 and deteriorated rapidly, with clinical signs of severe respiratory distress before her death on 3 May 2012. The source of oxycodone ingestion could not be definitively determined, though the child's developmental delay and propensity for placing objects in her mouth meant accidental ingestion from environmental exposure was possible. Clinically, earlier recognition of respiratory deterioration and medical evaluation could have been lifesaving. The child had a doctor's appointment arranged for 3 May 2012, but died before it occurred. Key lessons include vigilance for rapid deterioration in young children with viral illnesses, particularly those with underlying developmental disorders predisposing to aspiration, and the serious consequences of opioid-induced respiratory suppression even at small doses in vulnerable populations.
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Specialties
Error types
Drugs involved
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