383 results
86y · Male·multi-organ failure due to sepsis on a background of sacral pressure ulcer
An 86-year-old man died from multi-organ failure due to sepsis from a stage 4 sacral pressure ulcer after 61 days in a regional hospital. Critical failures included delayed pressure injury risk assessment (7 days overdue…
63y · Male·Bronchopneumonia in a man with cholangitis due to choledocholithiasis
Robert James Wright, a 63-year-old man with intellectual disability living in supported accommodation, died from bronchopneumonia complicated by cholangitis due to gallstone obstruction. He presented with weight loss and…
63y · Female·Haemopericardium (pericardial tamponade) caused by perforation of the right vent…
Jane Oosterloo, 63, died from haemopericardium (pericardial tamponade) caused by right ventricular perforation during ultrasound-guided transthoracic pericardiocentesis. She presented with influenza B complicated by myoc…
51y · Male·Complications of aspiration pneumonia in a man with status epilepticus
A 51-year-old man with Lennox-Gastaut syndrome, intellectual disability, and recurrent aspiration pneumonia died from complications of aspiration pneumonia and status epilepticus. He presented with status epilepticus and…
24y · Male·Hypoxic-ischaemic encephalopathy, due to or as a consequence of cardiac arrest, …
Hamid Khazaei, an Iranian asylum seeker aged 24, died on 5 September 2014 after contracting a leg infection (Chromobacterium violaceum) on Manus Island while in immigration detention. His death was preventable and result…
28y · Male·Mixed drug toxicity (synergistic effects of diazepam, oxycodone, and fentanyl ca…
Matthew McLachlan, a 28-year-old paraplegic with chronic pain from spinal cord injury, died from mixed drug toxicity while hospitalized for urinary tract infection treatment. He was receiving fentanyl patches, oxycodone,…
1y · Female·Sepsis (Group A Streptococcus)
A nearly 16-month-old girl died from Group A Streptococcal sepsis after presenting to a regional private hospital emergency department. She had been seen multiple times by different GPs in the preceding weeks with viral …
56y · Female·Aspiration Pneumonia in the setting of Cerebral Palsy and Epilepsy
Lesley Fallon, a 56-year-old woman with cerebral palsy and epilepsy living in high-level residential care, presented with sepsis complicated by pneumonia, cholecystitis, and aspiration risk. Despite aggressive treatment …
26y · Female·sepsis
Michaela Perrin, 26, died from sepsis arising from a post-caesarean wound infection caused by MRSA on 22 October 2014. She presented to the Emergency Department on 20 October with severe pain, tachycardia (125 bpm), and …
69y · Female·Findings consistent with pneumonia/sepsis
Sandra Mary Carroll, 69 years old, died from pneumonia/sepsis on 8 November 2016 at Northeast Health Wangaratta. She had contracted a urinary tract infection in October 2016 and presented to hospital on 31 October 2016 w…
85y · Male·respiratory failure due to chronic obstructive pulmonary disease
An 85-year-old man with COPD, diabetes, and peripheral vascular disease died from type 1 respiratory failure due to mucous plugging of airways. He presented with a foot ulcer and acute respiratory exacerbation, was admit…
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…
2y · Male·Group A beta Haemolytic Streptococcal septicaemia (invasive Group A Streptococca…
A 2-year-7-month-old boy died of Group A Streptococcal septicaemia after three presentations to hospital over three days. Clinical staff failed to recognise the developing bacterial infection despite objective warning si…
95y · Male·multi-organ failure due to sepsis and general inanition on a background of advan…
William Albert Hodgins, aged 95, died of multi-organ failure due to sepsis and general inanition on a background of advanced vascular dementia and ischaemic heart disease. He was admitted under a Level 2 Inpatient Treatm…
75y · Female·pyelonephritis and pneumonia
Molly Jessie Smith, a 75-year-old woman with longstanding severe mental illness, died of pyelonephritis and pneumonia on 16 August 2009. She had been in state psychiatric care continuously for 53 years. During her final …
66y · Female·urinary tract infection with contributing hypertensive heart disease, diabetes m…
Rita Ann Broadway, 66, died from urinary tract infection on 2 January 2015, one day after presenting to Modbury Hospital Emergency Department with vaginal pain and signs of infection. She had a long-term indwelling cathe…
19y · Female·Meningococcal septicaemia
Emma McGrath, a 19-year-old nursing student, died from meningococcal septicaemia caused by the W strain after presenting to the ED with a 12-hour history of vomiting, diarrhoea, abdominal pain and fever. The atypical pre…
53y · Male·Aspiration pneumonia in a man with myotonic dystrophy
A 53-year-old man with myotonic dystrophy and recurrent aspiration pneumonia died from aspiration pneumonia after premature discharge from hospital to a community residential unit. He was admitted with respiratory failur…
34y · Male·Staphylococcus aureus sepsis and endocarditis
Jason Hosking, 34, presented to ED with vomiting, diarrhoea, fever, tachycardia and hypotension on 10 November 2014. Blood tests by 11.23am showed markedly elevated inflammatory markers (CRP 234.3, neutrophils 10.8, elev…
0y · Female·Septic shock with multi-organ failure and probable meningitis, secondary to non-…
Baby Minahil Bhatti, a five-month-old with congenital non-compaction cardiomyopathy, died from septic shock with multi-organ failure and probable meningitis. She presented to Royal Children's Hospital on 27 July 2016 wit…
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