160 results
22y · Male·Combined drug toxicity (alprazolam, methadone, diazepam, dextromethorphan and op…
Adrian Westlund, a 22-year-old with complex drug-seeking behaviour and polypharmacy addiction, died of combined drug toxicity (alprazolam, methadone, diazepam, dextromethorphan). He manipulated multiple GPs by misreprese…
47y · Female·unascertained - natural causes
Leonie Margaret Philpott, a 47-year-old bush regeneration worker, was found deceased in bed on Christmas Day 2014. Despite a thorough three-cavity autopsy and comprehensive investigations including microscopic tissue exa…
24y · Female·peri-myocarditis in the presence of sub clinical Addison's disease
Jessica Martin, 24 years old, died of peri-myocarditis in the presence of subclinical Addison's disease. She presented to the ED with chest pain on 30 June 2009 and was diagnosed with viral pleurisy without specific inve…
40y · Male·coronary artery atherosclerosis
40-year-old male with hypercholesterolaemia presented to general practice with new-onset central chest pain radiating to neck and arm, plus shortness of breath. The practice nurse obtained an ECG and recorded the radiati…
30y · Female·Fentanyl overdose caused by self-administration of intravenous Fentanyl
Katie Howman, a 30-year-old registered nurse in the Critical Care Ward at Toowoomba Base Hospital, died from an intravenous Fentanyl overdose on 21 December 2013. Autopsy findings of crystalline granulomas in the lungs i…
93y · Male·Complications following colectomy for Clostridium difficile pancolitis in the se…
A 93-year-old man with a history of antibiotic use for a neck abscess developed diarrhoea during hospitalisation. Despite testing negative for Clostridium difficile at St Vincent's Hospital, he was transferred to a rural…
2y · Male·Myocarditis secondary to Kawasaki Disease
Christopher Tao, aged 2 years 9 months, presented to Princess Margaret Hospital ED with a 5-day fever, cervical lymphadenopathy, rash, conjunctivitis, and other features diagnostic of Kawasaki Disease (KD) on 7 September…
Unknown·suicide by hanging or other means
Six young people aged 12-17 years died by suicide between 2010-2014 in Tasmania. All had significant mental health issues, trauma histories, and contact with child protection services or schools. The coroner identified s…
1y · Male·Staphylococcus aureus septicaemia of unknown origin
Leroy William Scott, a 15-month-old boy, presented to Geelong Hospital with fever, lethargy, and poor oral intake. He was triaged as semi-urgent and not seen by a doctor until 5 AM, 8 hours later. Blood cultures drawn at…
22y · Male·mixed drug toxicity due to methadone, codeine, and morphine (metabolite), compou…
William Wallrock, 22, died from mixed drug toxicity four days after wisdom tooth extraction. He was initially appropriately advised to use paracetamol and ibuprofen. When inadequate pain relief prompted him to seek furth…
40y · Male·unascertained
Justin Foster, a 40-year-old man with bipolar affective disorder, chronic back pain, and substance abuse history, died suddenly in a psychiatric inpatient unit (Upton House) on 3 January 2012. He was admitted involuntari…
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…
Unknown·Christopher Salib: ischaemic heart disease with multiple prescription drug toxic…
This landmark inquest examined three deaths involving prescription drug toxicity: Christopher Salib (24, ischaemic heart disease with drug toxicity), Nathan Attard (34, multi-drug toxicity), and Shamsad Akhtar (35, multi…
76y · Female·colchicine toxicity
A 76-year-old woman with gout died from colchicine toxicity after being prescribed 500µg three times daily on 9 December 2010 for an acute attack. She developed diarrhoea from 15 December and died on 19 December with a p…
61y · Female·Acute renal failure and dehydration in the setting of cirrhosis (secondary to he…
A 61-year-old woman with cirrhosis secondary to hepatitis C sustained rib and clavicle fractures in a motor vehicle collision. She was discharged from the ED after 6 hours despite her underlying liver disease and coagulo…
34y · Female·Combined drug toxicity (propofol, sevoflurane and others)
A 34-year-old anaesthetist at Royal Melbourne Hospital died from combined drug toxicity involving propofol and sevoflurane—anaesthetic agents she accessed from unlocked theatre trolleys and administered to herself at hom…
45y · Female·Sibutramine ingestion in a woman with coronary artery atherosclerosis
Karen Willis, a 45-year-old woman with no known medical conditions, died of acute cardiac arrhythmia triggered by sibutramine ingestion combined with underlying coronary atherosclerosis. She had purchased Slimming Factor…
17y · Male·intra-abdominal haemorrhage complicating partial pancreatectomy for traumatic pa…
Andrew Gilmore, a 17-year-old fit and well boy, suffered traumatic pancreatic rupture from a football injury on 9 May 2009. Distal pancreatectomy was performed at Alfred Hospital on 11 May. He was discharged to Hospital …
21y · Female·Multiple organ failure as a result of overwhelming Streptococcus pyogenes (Group…
Sara Hampel, 21 years old, died from sepsis caused by necrotising fasciitis (Group A Streptococcus) on 14 October 2011, presenting 8 days post-partum with severe leg pain and multiple signs of sepsis. Critical failures i…
9y · Male·Disseminated melioidosis
William Bligh, a 9-year-old boy from Palm Island, died from disseminated melioidosis on 24 February 2013. He presented with fever and cough from 2 February, initially assessed as viral illness. Over 11 days, he was revie…
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