59 results
55y · Male·Complications of pneumonia
David Musicka, a 55-year-old man with cerebral palsy living in residential care, died from complications of pneumonia. Post-mortem examination revealed acute bilateral bronchopneumonia with cavitating lesions and Strepto…
38y · Male·Sepsis complicating bronchopneumonia and chest wall abscess in the setting of an…
A 38-year-old man with secondary adrenal insufficiency from childhood chemoradiation died from sepsis complicating a chest wall abscess and bronchopneumonia, precipitated by an adrenal crisis. He presented to his GP with…
16y · Male·pulmonary embolism secondary to nephrotic syndrome
Dylan Riley, a 16-year-old with steroid-responsive minimal change nephrotic syndrome, died from a massive pulmonary embolism (PE) on 1 August 2015. He presented to Rockingham Hospital with dyspnoea, hypoxia, tachycardia …
9y · Female·Acute exacerbation of asthma on a background of anaphylaxis
A 9-year-old girl with known egg allergy and asthma died from acute exacerbation of asthma on a background of anaphylaxis after consuming a Cadbury Chocolate Chip Cookie containing egg. The cookie was purchased in packag…
25y · Female·Airway obstruction complicating laryngeal dilation for the treatment of subglott…
Ms Sobb, a 25-year-old woman with spondylo-epi-metaphyseal dysplasia causing severe airway abnormalities and subglottic stenosis, died from airway obstruction following laryngeal dilation. She was admitted to ICU with as…
55y · Male·Cardio-respiratory arrest due to mixed prescription drug sedation (clozapine and…
Nigel Douglas Roberts, a 55-year-old man with chronic schizophrenia, COPD, and cardiomyopathy, died from cardio-respiratory arrest due to mixed prescription drug sedation (clozapine and olanzapine) in the presence of adv…
49y · Male·acute asthma leading to hypoxic brain injury
Hoi-Sam Lau, 49, died from acute asthma leading to hypoxic brain injury during the unprecedented Melbourne thunderstorm asthma event of 21 November 2016. He had well-controlled asthma triggered by pollen and respiratory …
46y · Female·hypoxic ischaemic encephalopathy complicating cardiorespiratory arrest in the se…
Mrs Le Hue Huynh, 46, died from hypoxic ischaemic encephalopathy complicating cardiorespiratory arrest during the November 21, 2016 Thunderstorm Asthma event in Melbourne. She had known asthma with poor medication compli…
29y · Male·acute asthma
A 29-year-old male with known asthma and hay fever died from acute asthma during the November 2016 thunderstorm asthma event in Melbourne. He presented to Ballarat Hospital on 21 November with severe asthma, was treated …
37y · Male·Acute asthma (thunderstorm asthma event)
37-year-old male died from acute asthma during the unprecedented Melbourne thunderstorm asthma event (21-22 November 2016). He had moderate to severe asthma with suboptimal preventer medication use and recently diagnosed…
70y · Male·combined effects of severe pulmonary emphysema, ischaemic heart disease and rece…
A 70-year-old man with severe COPD, dementia and a history of sexually inappropriate behaviour died following an assault by another resident with dementia. The coroner found institutional failures in care standards inclu…
79y · Female·Rhabdomyolysis in a woman with multiple myeloma and renal impairment
Margaret Ann Yeomans, aged 79, died from rhabdomyolysis in the context of multiple myeloma and chronic renal impairment. A critical medication error occurred when rosuvastatin 40mg was dispensed instead of her prescribed…
59y · Female·Multiorgan failure and polymicrobial sepsis secondary to severe bone marrow fail…
A 59-year-old woman with renal transplant died from multiorgan failure and sepsis secondary to severe bone marrow failure caused by azathioprine toxicity. She had an undiagnosed genetic polymorphism (TPMT *3A/*3A homozyg…
67y · Male·Complications of non small cell lung carcinoma in a man with ischaemic cardiomyo…
A 67-year-old man with schizophrenia subject to a Non-Custodial Supervision Order died from complications of non-small cell lung carcinoma with multiple comorbidities including ischaemic cardiomyopathy and COPD. He was a…
76y · Male·pneumonia and exacerbation of chronic obstructive airway disease
George William Cameron, aged 76, died from pneumonia and exacerbation of chronic obstructive airway disease at Noarlunga Hospital. He was admitted with acute alcohol withdrawal, confusion, and respiratory symptoms. A Lev…
41y · Male·Fulminant sepsis (Klebsiella pneumoniae) with multi-organ failure complicating s…
A 41-year-old man with newly diagnosed severe Crohn's colitis was prescribed 6-mercaptopurine (6-MP) after only 5 days of hospital treatment. He had a homozygous TPMT gene deficiency (present in ~0.3% of population) that…
46y · Female·Dilated cardiomyopathy (acute complication with sudden cardiac arrhythmia)
A 46-year-old woman with bipolar/schizoaffective disorder, poorly controlled type 2 diabetes, morbid obesity, severe obstructive sleep apnoea, and pulmonary hypertension died from acute dilated cardiomyopathy with sudden…
35y · Male·bronchial asthma
A 35-year-old man with mild asthma died from severe bronchial asthma within hours of arriving at a Christmas Island immigration detention centre. He was initially identified as asthmatic at the jetty but not transferred …
91y · Male·pneumonia on a background of chronic congestive cardiac failure and chronic obst…
A 91-year-old man with chronic cardiac failure, COPD and atrial fibrillation presented with confusion, agitation and dyspnoea. Admitted with pneumonia and delirium, he exhibited combative behaviour and resisted oxygen th…
10y · Female·Multi-organ failure secondary to overwhelming herpes simplex virus (HSV) infecti…
A 10-year-old girl died from multi-organ failure secondary to overwhelming herpes simplex virus (HSV) infection. She presented to the Women's and Children's Hospital on day 3 of pharyngitis with ulceration of the tonsill…
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