Coronial
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SA2025-12-08

Coroner's Finding: Mountford, Raymond Malcolm Edward

82y · Male·Ischaemic and hypertensive heart disease

An 82-year-old man with extensive medical comorbidities including ischaemic heart disease, triple vessel coronary artery disease (previously bypass grafted), diabetes, chronic kidney disease, and dementia died suddenly i…

cardiologygeriatric medicinefurosemide
SAaged care2025-09-11

Coroner's Finding: Glenn, Millicent

89y · Female·acute-on-chronic renal failure on a background of ischaemic heart disease, hyper…

An 89-year-old Aboriginal woman with chronic renal impairment and congestive cardiac failure was prescribed gentamicin intramuscularly for a urinary tract infection caused by Klebsiella aerogenes. Gentamicin is nephrotox…

general practicegeriatric medicinemedicationdiagnosticgentamicin
SAhospital2024-09-13

Coroner's Finding: Zarrella, Dominic

88y · Male·aspiration pneumonia complicating vascular dementia and metastatic prostate canc…

An 88-year-old man with vascular dementia, metastatic prostate cancer, and chronic kidney disease died of aspiration pneumonia 15 days after admission to hospital under a Mental Health Act inpatient treatment order. He w…

oncologypsychiatry
SAhospital2024-06-19

Coroner's Finding: Leane, Stewart Anthony

62y · Male·end stage renal failure complicating oxalate crystal nephropathy with contributi…

Stewart Anthony Leane, 62, died from end-stage renal failure due to oxalate crystal nephropathy with contributing head injury. He had complex medical needs including dialysis-dependent kidney failure, schizophrenia, and …

nephrologyneurology
SAhospital2023-12-22

Coroner's Finding: FORREST, John Michael

68y · Male·Multi-organ failure due to gram-negative sepsis on a background of recent myocar…

A 68-year-old male prisoner with multiple comorbidities (diabetes, end-stage renal failure, COPD, morbid obesity) presented with acute myocardial infarction and underwent coronary artery bypass grafting. Post-operatively…

cardiothoracic surgerycardiologyglyceryl trinitrate
SAhospital2022-12-22

Coroner's Finding: Shore Wayne John

55y · Male·right intracerebral haemorrhage and left middle cerebral artery cerebrovascular …

Wayne Shore, 55, died from right intracerebral haemorrhage and left middle cerebral artery stroke complicating infective endocarditis, end-stage renal failure, and multiple myeloma. He was subject to a Level 1 Inpatient …

neurologynephrologyanticoagulant therapy
SAhospital2022-03-29

Coroner's Finding: Foster, Clive Anthony

76y · Male·end-stage renal failure

A 76-year-old man died of end-stage renal failure while imprisoned. He had pre-existing hypertension, diabetes, and stage 3 chronic kidney disease. During his final year in custody, he experienced acute kidney injury sup…

general medicinenephrology
SAaged care2020-12-18

Coroner's Finding: DUTSCHKE Brenton Leslie

72y · Male·ischaemic heart disease on a background of end-stage renal failure and frontotem…

Brenton Dutschke, aged 72, died of ischaemic heart disease on a background of end-stage renal failure and frontotemporal dementia while on a Level 3 Inpatient Treatment Order at Oakden Mental Health's Makk House. He had …

psychiatrynephrology
SAhospital2020-07-14

Coroner's Finding: DUSZYNSKI Steve Stan Peter

66y · Male·Bronchopneumonia and influenza A complicating cardiac and renal failure associat…

A 66-year-old man with cryoglobulinaemic vasculitis secondary to non-Hodgkin's lymphoma died from bronchopneumonia and influenza A complicating cardiac and renal failure. He developed delirium, agitation and paranoia dur…

nephrologyhaematologydelayolanzapine
SAhospital2020-01-10

Coroner's Finding: PLAYFORD Aldona Mariana

84y · Female·sepsis and cardiac failure in a woman with hypertensive ischaemic and valvular h…

Aldona Mariana Playford, an 84-year-old woman with extensive medical comorbidities including ischaemic heart disease, chronic renal failure, and severe biventricular dysfunction, died of sepsis and cardiac failure. She w…

cardiologypsychiatryfurosemide
SAhospital2019-05-08

Coroner's Finding: JONES Melissa Irene

45y · Female·methicillin resistant staphylococcus aureus (MRSA) endocarditis of the mitral va…

A 45-year-old woman with chronic renal failure requiring dialysis and bipolar disorder died of MRSA endocarditis of the mitral valve. She was detained under a Mental Health Act order due to manic episodes and non-complia…

nephrologypsychiatrylithium
SAhospital2017-11-17

Coroner's Finding: FREDERICK Geoffrey Lachlan Hogarth

60y · Male·End stage renal failure

Geoffrey Frederick, aged 60, died of end-stage renal failure while subject to a Mental Health Act order at Royal Adelaide Hospital. He had schizophrenia and chronic kidney disease requiring dialysis, but repeatedly remov…

nephrologypsychiatry
SAaged care2016-08-19

Coroner's Finding: CLAYTON James Edmund

59y · Male·ischaemic heart disease due to coronary atherosclerosis; acute myocardial infarc…

A 59-year-old man with ischaemic heart disease, paranoid schizophrenia, unstable type 2 diabetes, peripheral vascular disease and chronic renal failure died of acute myocardial infarction while residing in aged care. He …

cardiologypsychiatrydiagnosticdelay
SAhospital2014-05-19

Coroner's Finding: DONNELL Kevin George

60y · Male·end stage refractory chronic congestive cardiac failure on a background of chron…

A 60-year-old man with chronic schizophrenia, end-stage cardiac failure, renal failure, and dementia died of refractory congestive heart failure while under Mental Health Act detention. He had multiple comorbidities incl…

cardiologypsychiatry
SAhospital2013-09-04

Coroner's Finding: ARKADIANOS Dionisios

75y · Male·pneumonia complicating chronic renal and cardiac failure, vascular dementia and …

A 75-year-old man with chronic cardiac and renal failure, vascular dementia, and COPD died of pneumonia while detained under the Mental Health Act at Flinders Medical Centre. He was admitted with chest pain and remained …

cardiologypsychiatryenoxaparin
SAhospital2009-09-18

Coroner's Finding: VONDERWALL Frederick Albert

66y · Male·hepatorenal failure and biliary sepsis complicating common bile duct obstruction

A 66-year-old man incarcerated in Port Lincoln Prison died from hepatorenal failure and biliary sepsis complicating common bile duct obstruction. He presented with progressive jaundice, dark urine, and signs of liver fai…

general surgeryintensive care
SAhospital2006-05-19

Coroner's Finding: FALANGA Salvatore

77y · Male·complications of haemothorax and hypotension following drainage of pleural effus…

77-year-old male died from complications of haemothorax and hypotension following drainage of pleural effusion post-coronary bypass surgery, in the setting of pre-existing renal impairment and diabetes. During pleural ta…

cardiologycardiothoracic surgerydiagnosticproceduralramipril
SAhospital2006-01-25

Coroner's Finding: RAPHAEL Glenn Howard

74y · Male·cardiac and renal failure complicating treatment of infected ischaemic toes resu…

Glenn Howard Raphael, 74-year-old admitted for infected ischaemic toe secondary to diabetes mellitus. During his 17-day hospital stay, he developed acute renal failure leading to cardiac arrest and death. Critical failur…

vascular surgerygeneral medicinemedicationcommunicationgentamicin
SAhospital2005-04-07

Coroner's Finding: MULVINSKAS Anna

79y · Female·pulmonary oedema and electrolyte imbalance, both secondary to renal failure

Mrs Mulvinskas, a 79-year-old with end-stage renal disease, renal carcinoma, diabetes, and cardiac failure, died from pulmonary oedema and electrolyte imbalance secondary to renal failure. On 21 October 2004, she became …

general medicinenephrologycalcium
SAhospital2000-05-31

Coroner's Finding: DELLATORRE Natale

54y · Male·respiratory failure and acute renal failure due to rhabdomyolysis following trau…

A 54-year-old man with chronic schizophrenia and intellectual disability died from respiratory failure and acute renal failure secondary to rhabdomyolysis following a crush injury to his left thigh sustained while attemp…

emergency medicinepsychiatrydiagnosticadrenaline

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