78 results
67y · Male·respiratory failure with antecedent causes including chronic emphysematic lung d…
67-year-old male with 40-year smoking history presented with chest symptoms in 2012. CT scan revealed a left upper lobe mass. Core biopsy was incorrectly reported as adenocarcinoma by the pathologist, despite clinical un…
2y · Male·Group A beta Haemolytic Streptococcal septicaemia (invasive Group A Streptococca…
A 2-year-7-month-old boy died of Group A Streptococcal septicaemia after three presentations to hospital over three days. Clinical staff failed to recognise the developing bacterial infection despite objective warning si…
48y · Male·Coronary artery disease precipitating acute myocardial infarction resulting in c…
Roy Rodney Jacobs, a 48-year-old Aboriginal man with cirrhosis and coronary artery disease, died of acute myocardial infarction at Cherbourg Hospital after presenting three times over 28-30 August 2016 with chest pain an…
19y · Female·Meningococcal septicaemia
Emma McGrath, a 19-year-old nursing student, died from meningococcal septicaemia caused by the W strain after presenting to the ED with a 12-hour history of vomiting, diarrhoea, abdominal pain and fever. The atypical pre…
36y · Female·Complications of pneumonia and pulmonary emphysema with bullae formation; respir…
A 36-year-old woman with congenital chest wall abnormality, scoliosis, and difficult intubation history presented to a rural hospital with community-acquired pneumonia and sepsis. She had multiple 'red flag' indicators o…
83y · Male·pneumonia and severe acute respiratory distress syndrome caused by Legionella ba…
An 83-year-old man died from pneumonia and respiratory distress caused by Legionella bacterium. He presented with abdominal symptoms and was initially misdiagnosed as having aspiration pneumonia rather than community-acq…
19y · Female·echovirus type 9 infection (myocarditis and pneumonitis)
A 19-month-old child died of echovirus type 9 myocarditis and pneumonitis after rapid deterioration while on holiday. She presented to a small rural hospital with fever, altered consciousness, and seizure activity. The t…
73y · Male·multisystem organ failure in the context of trauma and limb fracture
A 73-year-old Indigenous man with multiple comorbidities (diabetes, hypertension, obesity, sleep apnoea, ischaemic heart disease) sustained a right ankle fracture following collision with a motor vehicle while riding a m…
4y · Male·Complications of T-cell lymphoma
Nghi Pham was a 4-year-old admitted to Sunshine Hospital with facial swelling, stridor, and upper respiratory symptoms. He was examined by emergency and ENT teams, diagnosed with adenoiditis and sinusitis, and discharged…
85y · Male·pneumonia
An 85-year-old man with multiple comorbidities (ischaemic heart disease, COPD, atrial fibrillation, dementia) died from pneumonia while in custody at Port Phillip Prison. He developed a lower respiratory tract infection …
3y · Male·thrombotic microangiopathy
A 3-year-old child died from thrombotic microangiopathy (haemolytic uraemic syndrome) secondary to Shiga toxin-producing E. coli infection, likely acquired from consumption of unpasteurised milk. Early presentation to GP…
82y · Male·Pneumonia on a background of severe mixed Alzheimer's and vascular dementia
An 82-year-old man with severe mixed Alzheimer's and vascular dementia died of pneumonia while detained under a Mental Health Act Level 2 Inpatient Treatment Order at a specialized psychogeriatric facility. He had been t…
5y · Male·Acute bronchopneumonia and diffuse alveolar damage due to acute rheumatic cardit…
A 5-year-old boy with rheumatic heart disease and acute mitral valve regurgitation presented to Mt Isa Hospital with acute heart failure. Although initially recognised as deteriorating by the paediatrician on-call, the s…
6y · Female·Brain stem herniation due to pneumococcal meningitis
Lilli Sweet, a 6-year-old asplenic child with hereditary spherocytosis, died from pneumococcal meningitis with brain stem herniation. She presented to Nambour Hospital ED with vomiting, diarrhea, and headache on 25 Augus…
44y · Male·pneumonia (with multiple left-sided rib fractures as the antecedent cause)
Jimmy James, a 44-year-old man, died from pneumonia with multiple left-sided rib fractures secondary to a physical assault. He presented to Westmead Hospital ED with clinical signs of septic shock (tachypnoea, hypoxia, h…
63y · Male·Multisystem organ failure, pneumonitis and sepsis; complications arising from a …
A 63-year-old man died on 11 March 2008 from multisystem organ failure, sepsis and pneumonitis following a fall. He was admitted to Dandenong Hospital with rib fractures and pelvic injuries. Clinical deterioration occurr…
54y · Female·Complications of progressive dysphagia in a woman with Down syndrome and dementi…
Llona Doolan, a 54-year-old woman with Down syndrome and dementia, died from complications of progressive dysphagia. She was admitted to Western Hospital with difficulty swallowing and poor oral intake. A multidisciplina…
17y · Male·bacterial meningitis
A 17-year-old Aboriginal student died from bacterial meningitis after three clinic presentations in Yuendumu over four days. The critical failure occurred on 1 April when fever (38.3°C), persistent headache, and positive…
48y · Female·Aspiration of stomach contents and pneumonia, following cardiac arrest
Margaret Webber, aged 48, with cerebral palsy and diabetes, died from aspiration of stomach contents and pneumonia. She presented to hospital with diabetic ketoacidosis (DKA) and coffee-ground vomit, which raised concern…
75y · Female·Abdominal infection following surgery (repair of recurrent umbilical hernia) - s…
Wilma Ray Jones, 75, died of abdominal infection and sepsis following uncomplicated umbilical hernia repair. Post-mortem revealed ischaemic bowel with infarction, likely caused by superior mesenteric artery occlusion tri…
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.