Coronial

15 results for chest infection (misdiagnosis)

QLDhospital2009-09-29

Hadlow, Barry Gordon

65y · Male·Acute myocardial infarction due to or as a consequence of coronary atheroscleros…

…r-old prisoner with known coronary artery disease, presented to prison medical centre on 13 July 2007 with chest pain, coughing up blood, fever and shortness of breath. He was appropriately diagnosed with lower respirat…

cardiologyemergency medicine
TAShospital2020-04-07

Coroner's Finding: Pettersson, Jan Axel

71y · Male·disseminated fungal (Cryptococcus) infection of the lungs, brain and meninges

…d man presented with fever, confusion, and gait disturbance in October 2017. A lung mass was identified on chest X-ray and presumed malignant, but inflammatory markers were unremarkable. Despite clinical deterioration w…

general medicinerespiratory medicinediagnosticdelay
ACThospital2018-01-30

AN INQUEST INTO THE DEATH OF ROBERT DOUGLAS

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 adenoca…

respiratory medicinepathologydiagnosticsystemenoxaparin
SAhospital2001-10-19

Coroner's Finding: McCARTHY Nancy Clare

67y · Female·bronchopneumonia complicating disseminated pulmonary large cell carcinoma with r…

Nancy McCarthy, 67, presented with progressive back and chest pain initially attributed to vertebral compression fracture. She deteriorated acutely with confusion, agit…

general practiceemergency medicinediagnostic
WAhospital2016-12-16

Inquest into the Death of Ms DHU

22y · Female·staphylococcal septicaemia and pneumonia complicating osteomyelitis of a right 1…

…She was detained in police custody on unpaid fines and presented twice to hospital on 2-3 August 2014 with chest pain. Both doctors discharged her, diagnosing 'behavioural issues' rather than recognising signs of infect…

emergency medicineinfectious diseasesdiagnosticcommunicationamphetamine
QLDhospital2015-07-27

KS - Non-inquest findings

69y · Male·Intracerebral haemorrhage due to sepsis (Staphylococcus aureus bacteraemia), com…

…. However, the patient had concurrent sepsis (Staphylococcus aureus bacteraemia) from a recurrent spinal infection. At the metropolitan hospital, sepsis was correctly identified, but the patient deteriorated and develop…

emergency medicinecardiologydiagnosticmedicationrivaroxaban
TASmental health2017-11-17

Coroner's Finding: Smith, Molly Jessie

75y · Female·pyelonephritis and pneumonia

…for 53 years. During her final week at Roy Fagan Centre, Dr R. failed to recognise progressive bacterial infection presenting as fever, tachycardia, tachypnoea and other vital sign abnormalities. He misdiagnosed a urina…

psychiatrygeneral practicediagnosticdelaycefalexin
SAhospital2005-08-11

Coroner's Finding: BEGBIE Peter John

41y · Male·multi-organ failure and staphylococcal septicaemia following pulmonary and aorti…

…nitiated by Q fever exposure at his abattoir workplace or a finger laceration. He presented with fever and chest pain but was initially misdiagnosed as having viral infection. Following appropriate blood tests revealing…

cardiothoracic surgerygeneral medicinediagnosticantibiotics
VIChospital2017

Finding into death of Nghi Trieu Gla Pham

4y · Male·Complications of T-cell lymphoma

…rrest given the mass size. Key learning: rare mediastinal masses can present as benign upper respiratory infection; the importance of accredited interpreters when language barriers exist; and consideration of consultant…

emergency medicineENT surgerycefalexin
WAcommunity2005-05

Inquest into the Death of Adam David McKay

31y · Male·Pulmonary thromboembolism arising from deep vein thrombosis

…s not pursued despite discussion. He subsequently experienced shortness of breath attributed to asthma and chest infection. On 23 January, he deteriorated rapidly in hospital and died despite thrombolytic therapy. The c…

general practiceemergency medicinediagnosticcommunication
SAhospital2005-11-10

Coroner's Finding: LAZOPOULOS Christopher

34y · Male·multi-organ failure with right-sided tension pneumothorax

…d spleen and fractured ribs presented to the Emergency Department on multiple occasions with abdominal and chest pain. He was discharged on 28 February, 5 March and 6 March without admission despite clear indicators of …

emergency medicineintensive carediagnosticsystem
SAhospital2008-06-06

Coroner's Finding: AUSTIN Grant Aaron

29y · Male·aspiration pneumonia complicating acute and chronic Wernicke's encephalopathy an…

…atric illness (depression/catatonia) rather than organic causes. An endoscopy showed Helicobacter pylori infection but this finding was not clearly communicated to the psychiatrist. He was referred for ECT but Glenside …

general medicinepsychiatrycommunicationdiagnostictrimethoprim
NSWhospital2018-06-29

Inquest into the death of Aidan Mara

3y · Male·Influenza A infection (Type H3N2)

Aidan Mara, a 3-year-old boy with influenza A pneumonia and hyponatraemia, collapsed and died from cardiovascular failure on hospital day 3. Critical clinical lessons include: (1) distinguishing SIADH from dehydration ea…

paediatricsemergency medicinediagnosticcommunicationcefotaxime
VIChospital2014-12-04

Finding into death of Leroy William Scott

1y · Male·Staphylococcus aureus septicaemia of unknown origin

…mmunication between pathology and clinical teams, and escalation based on objective markers of bacterial infection despite clinically reassuring features.

paediatricsemergency medicinediagnosticcommunicationparacetamol
VIChospital1996-08-16

LONG June

69y · Female·Asthma

June Sylvia Long, aged 69, suffered an asthma attack at home on 28 June 1994 and was transported to Alfred Hospital. She deteriorated overnight in the hospital's Respiratory Ward despite initial improvement in Emergency …

respiratory medicineemergency medicinediagnosticcommunicationsalbutamol

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