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VIChospital2013-05-07

Finding into death of Gurpal Sandhu

64y · Female·Lymphocytic choriomeningitis virus (LCMV)-like arenavirus infection, post liver …

A 64-year-old woman died on 3 January 2007 from a lymphocytic choriomeningitis virus (LCMV)-like arenavirus acquired through cadaveric liver transplantation. The donor had recently returned from Serbia with unexplained w…

transplant medicinehepatologycommunicationsystem
VIChospital2013-05-07

Finding into death of Carmelina Rachela Sirianni

63y · Female·Lymphocytic choriomeningitis virus (LCMV)-like virus infection; post failed rena…

A 63-year-old woman received a renal transplant from a cadaveric donor who had died of cerebral hemorrhage. She developed delayed graft function and deteriorated post-operatively, ultimately dying from a novel lymphocyti…

nephrologytransplant medicinecommunicationsystem
VIChospital2013-05-07

Finding into death of Karen Elizabeth Wilkinson

44y · Female·Lymphocytic choriomeningitis virus (LCMV)-like virus infection following failed …

A 44-year-old woman died on 1 January 2007, six days after receiving a cadaveric renal transplant. She was one of three organ recipients from the same donor who died within six days of each other from a novel lymphocytic…

transplant medicinenephrologycommunicationsystem
SAhospital2013-03-27

Coroner's Finding: SMITH Norman Ebanezer John

54y · Male·Respiratory failure due to aspiration pneumonia and acute autonomic and sensory …

Norman Ebanezer John Smith, aged 54, a long-term psychiatric patient under guardianship, died of respiratory failure due to aspiration pneumonia and acute neuropathy complicating severe hyponatraemia (sodium 109). He pre…

psychiatryintensive caresystemcommunicationantipsychotics
SAhospital2013-02-08

Coroner's Finding: FENSOM Angela Catherine and TAANKINK Johaanes Andrew

Unknown·Ms Fensom: influenza A (H1N1 2009, pandemic swine flu) with myocarditis causing …

Two deaths from H1N1 influenza in 2009. Ms Fensom (41) died from myocarditis complicating swine flu after inadequate recognition and management of persistent hypotension at Millicent Hospital. Her condition required esca…

emergency medicinegeneral practicediagnosticcommunicationoseltamivir
VIChospital2012-12-13

Finding into death of William Andrew Poskitt

31y · Male·Injuries sustained in a fall from height

William Poskitt, a 31-year-old man with recently diagnosed HIV and Pneumocystis carinii pneumonia, died by suicide during a 4-day hospital admission. Despite requesting psychiatric assessment three times and displaying c…

infectious diseasespsychiatrycommunicationdiagnostictrimethoprim
QLDhome2012-12-06

Bramble, Julie Anne

50y · Female·septicaemia

Julie Anne Bramble, a 50-year-old woman with alcohol dependence and recent drug use, died from septicaemia on 1 April 2011 at her home in Bundaberg. Over 4-5 days prior to death, she developed progressive symptoms includ…

emergency medicineparamedicinedelaycommunicationmethamphetamine
SAcommunity2012-11-15

Coroner's Finding: Edgar Lauren Michelle

28y · Female·Multi-organ failure due to Clostridium perfringens myonecrosis complicating lipo…

Lauren Edgar, a 28-year-old woman, died of multi-organ failure from Clostridium perfringens myonecrosis (gas gangrene) following a liposuction procedure performed by Dr K. on 5 March 2008. She presented to hospital on 8 …

plastic and reconstructive surgerygeneral practicediagnosticcommunicationpanadol/paracetamol
SAhospital2012-11-15

Coroner's Finding: Davis Tracy-Lee

34y · Female·hypoxic ischaemic encephalopathy due to anaphylactic shock due to antibiotic all…

A 34-year-old woman died from anaphylactic shock to Ceclor, a cephalosporin antibiotic prescribed for otitis externa. Her medical records clearly documented allergies to cephalosporins (Ibilex) and sulphur-based antibiot…

general practiceemergency medicinediagnosticmedicationceclor
NSWhospital2012-11-01

Inquest into the death of Michelle McILQUHAM

28y · Female·undiagnosed acute streptococcus pneumonia meningitis with left-sided otitis medi…

28-year-old Michelle McIlquham with mild intellectual disability presented to Bankstown Hospital ED with fever, headache, ear infection and first-ever seizure. A junior doctor diagnosed simple otitis media with behaviour…

emergency medicineinfectious diseasesdiagnosticcommunicationerythromycin
VICaged care2012-06-25

Finding into death of Broughton Hall Inquest

Salmonella infection contributing to deaths in gastroenteritis outbreak

Four elderly residents of Broughton Hall aged care facility died during a 2007 Salmonella gastroenteritis outbreak. A three-day delay in notifying the Department of Health (April 7 to April 10) prevented early identifica…

infectious diseasesgeriatric medicinediagnosticcommunication
WAhospital2012-05-18

Inquest into the Death of Allan

16y · Male·Pneumonia complicating influenza A (H1N1) infection with secondary Staphylococcu…

Andrew Allan, a 16-year-old student, died from pneumonia complicating influenza A (H1N1) infection with secondary Staphylococcus aureus septicaemia. He presented to Northam Regional Hospital Emergency Department on 16 Se…

emergency medicinegeneral practicediagnosticcommunicationmethylphenidate
VIChospital2012-02-06

Finding into death of David Crisfield

43y · Male·Septic shock from streptococcus pneumoniae sepsis arising from streptococcus pne…

David Crisfield, a 43-year-old immunosuppressed patient with COPD on Crohn's disease therapy, died from streptococcus pneumoniae septic shock. He presented to a rural hospital ED on 6 November 2007 with respiratory compr…

emergency medicinegeneral practicediagnosticcommunicationsalbutamol
NT2012-01-03

Inquest into the death of Steven Andrew Forbes

37y · Male·acute viral pneumonia secondary to swine flu (H1N1) infection of the lungs, exac…

Steven Andrew Forbes, age 37, died of acute viral pneumonia secondary to H1N1 influenza, complicated by chronic rheumatic heart disease. He died in police/correctional custody following arrest at hospital discharge for a…

emergency medicineinfectious diseasescommunicationsystemdicloxacillin
QLD2011-11-03

Currie, Sheldon Douglas

18y · Male·Hypoglycaemic hypoxic-ischaemic encephalopathy, due to massive liver necrosis, d…

An 18-year-old remand prisoner died from acute liver failure secondary to Hepatitis B and C infection. He presented with fever and malaise on 15 February but was assessed only for boils and not thoroughly evaluated. Clin…

general practicegastroenterologydiagnosticcommunicationflucloxacillin
QLDhospital2011-10-07

Saunders, Ryan Charles

2y · Male·Group A Streptococcal toxic shock syndrome which probably originated in the thro…

Ryan Saunders, a 2-year-old boy, died from Group A Streptococcal toxic shock syndrome after a 72-hour presentation with fever, pain, and systemic illness. Initial GP care was appropriate given the presentation and diagno…

paediatricsemergency medicinediagnosticcommunicationparacetamol
SAhospital2011-07-08

Coroner's Finding: BAIS Jamie Stuart

39y · Male·pneumococcal meningitis with severe cerebral oedema due to pneumococcal mastoidi…

Jamie Stuart Bais, a 39-year-old man with acute otitis media and sinusitis, was admitted to Flinders Medical Centre for what was thought to be a straightforward ENT infection. Over 15 days, he developed pneumococcal meni…

ENT surgeryinfectious diseasesdiagnosticcommunicationceftriaxone
VIChospital2011-07-08

Finding into death of Jan Szustak

84y · Male·Aspiration pneumonia associated with vascular and Alzheimer dementia

An 84-year-old man with vascular and Alzheimer dementia died from aspiration pneumonia at Latrobe Regional Hospital. He had been under an Inpatient Treatment Order, but this critical status was not communicated to the re…

geriatric medicinerespiratory medicinecommunicationsystem
SAhospital2010-12-06

Coroner's Finding: GEORGE Irene Thelma

84y · Female·septicaemia secondary to septic arthritis of the left knee

An 84-year-old woman presented to hospital with acute left knee swelling and pain. Initial assessment at Ashford Hospital ED reasonably excluded septic arthritis based on borderline blood tests and absence of fever, thou…

emergency medicinegeneral medicinediagnosticcommunicationmorphine
VIChospital2010-03-24

Finding into death of Adam Michael Francis Fabre

19y · Male·acute bacterial meningitis with secondary cerebritis (meningococcus)

Adam Fabre, a 19-year-old with fever, severe headache, neck pain, muscle pain (10/10), vomiting, tachycardia and blanching rash, presented to Casey Hospital ED at 3:45am on 14 July 2006. Despite expressing clear concern …

emergency medicineinfectious diseasesdiagnosticcommunicationparacetamol/codeine

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