Complications including hepatic encephalopathy, pneumonia and multi-organ failure, of hepatitis C and hepatocellular carcinoma
AI-generated summary
Wayne Frederick Leese, a 54-year-old prisoner, died from complications of hepatitis C and hepatocellular carcinoma including hepatic encephalopathy, pneumonia and multi-organ failure. He collapsed at Acacia Prison on 4 May 2018 with seizures and was rapidly transferred to St John of God Hospital Midland where he was admitted to ICU. He had received comprehensive medical care throughout his 16-year imprisonment including specialist hepatology referrals, interferon therapy, microwave ablation of liver tumours, and regular monitoring. The coroner found the standard of supervision, treatment and care was reasonable and comparable to or better than community care. A minor delay in surveillance MRI scheduling was outside departmental control and unlikely to have changed the outcome. Rapid decompensation of cirrhotic liver disease is a recognised phenomenon and death was a likely outcome despite appropriate hospitalisation and treatment.
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