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VIChospital2016-06-24

Finding into death of Graeme John Jennings

65y · Male·staphylococcal sepsis (secondary to Staphylococcus aureus infection seeding rect…

A 65-year-old man presented with quad bike accident injuries and had markedly elevated inflammatory markers (CRP 329–556, WCC 12.3–18) during his first hospital admission. These were suggestive of developing infection, p…

general surgeryemergency medicinediagnosticcommunicationindocid
VIChospital2016-06-14

Finding into death of Alan James Drake

58y · Male·Pneumonia and urosepsis in a man with multiple comorbidities including Down synd…

Alan James Drake, 58-year-old man with Down syndrome and multiple comorbidities, died of pneumonia and urosepsis. He presented to his GP on 16 July with suspected urinary tract infection, treated with oral antibiotics as…

general practiceemergency medicine
VICaged care2016-06-07

Finding into death of Clive John Cook

68y · Male·Complications of aspiration pneumonia in a man with intellectual disability (con…

A 68-year-old man with severe intellectual disability and congenital brain injury died from complications of aspiration pneumonia. He had a long history of recurrent aspiration pneumonias and dysphagia. Following admissi…

palliative caregeneral medicine
WAhospital2016-05-20

Inquest into the death of Sebastian Keith PARMAN

6y · Male·pneumonia complicating influenza A (H1N1) infection with secondary streptococcal…

Sebastian Parman, a 6-year-old boy, died from pneumonia complicating influenza H1N1 with secondary group A streptococcal infection causing scarlet fever, empyema and sepsis. Multiple clinical failures contributed: an inf…

emergency medicinepaediatricsdiagnosticcommunicationpenicillin
QLDhospital2016-05-06

Sweet, Lilli

6y · Female·Brain stem herniation due to pneumococcal meningitis

Lilli Sweet, a 6-year-old asplenic child with hereditary spherocytosis, died from pneumococcal meningitis with brain stem herniation. She presented to Nambour Hospital ED with vomiting, diarrhea, and headache on 25 Augus…

paediatricsemergency medicinediagnosticcommunicationparacetamol
NSWhospital2016-04-29

Inquest into the death of Idris GRIFFITHS

80y · Male·Pneumonia, with multi-organ failure in the form of liver failure (due to chronic…

Idris Griffiths, a 80-year-old man, died of pneumonia with multi-organ failure whilst in custody at Long Bay Correctional Centre. He had advanced chronic hepatitis C with cirrhosis, ischaemic heart disease, and a history…

emergency medicineinfectious diseases
VIChospital2016-03-15

Finding into death of George Mavraganis

50y · Male·Complications of urosepsis in the setting of T3/4 paraplegia

George Mavraganis, a 50-year-old man with T3/4 paraplegia from a childhood injury, was residing in supported accommodation. He had a chronic indwelling urinary catheter with recurrent infections. On 24 August 2015, his l…

intensive caregeneral practice
VIChospital2016-02-17

Finding into death of Geoffrey Power

54y · Male·Complications of cervical spinal stenosis treated with cervical laminectomy and …

Geoffrey Power, aged 54, with severe intellectual disability, blindness, and perinatal hypoxic-ischemic brain injury, underwent indicated cervical laminectomy and fusion for cervical stenosis. Post-operatively, he self-r…

neurosurgeryintensive carecommunicationantibiotics
NSWcommunity2016-01-29

Jimmy JAMES - Findings

44y · Male·pneumonia (with multiple left-sided rib fractures as the antecedent cause)

Jimmy James, a 44-year-old man, died from pneumonia with multiple left-sided rib fractures secondary to a physical assault. He presented to Westmead Hospital ED with clinical signs of septic shock (tachypnoea, hypoxia, h…

emergency medicineintensive carediagnosticmedicationceftriaxone
VIChospital2015-11-30

Finding into death of Maria Dolores Coliero

69y · Female·Inadvertent intravenous administration of oral ciprofloxacin in the setting of a…

A 69-year-old woman with stroke, diabetes, atrial fibrillation and osteomyelitis died from inadvertent intravenous administration of crushed oral ciprofloxacin. The antibiotic was prescribed for the nasogastric tube but …

intensive careinfectious diseasesmedicationproceduralciprofloxacin
QLDhome2015-10-14

Thomas, Alexander David Joseph - Non-inquest findings

23y · Male·Beta-phenylethylamine toxicity

A 23-year-old Army private died from beta-phenylethylamine toxicity after ingesting excessive quantities of this supplement purchased online. He had a history of low mood, fatigue, and anxiety, and had self-medicated wit…

psychiatryinfectious diseasessystembeta-phenylethylamine
VIChospital2015-10-14

Finding into death of Marc Phillip Vella

39y · Male·Infective endocarditis, with intravenous drug use as a contributing factor

Marc Vella, a 39-year-old man with schizophrenia and intravenous drug use, presented to St Vincent's Hospital with respiratory symptoms and chest pain. Clinical assessment identified pneumonia, septicaemia, and possible …

emergency medicinegeneral medicinemethamphetamine
VIChospital2015-09-01

Finding into death of Gayle Rosemary Hamilton

57y · Female·Sepsis in the setting of probable aspiration pneumonia

A 57-year-old woman with Down syndrome, blindness, severe dysphagia, dementia, and epilepsy died from sepsis secondary to aspiration pneumonia. She lived in a Department of Human Services care facility and presented to h…

emergency medicinepalliative care
NSWhospital2015-08-17

Inquest into the death of Manjit SINGH

33y · Male·hypoxic respiratory failure following right pneumonectomy for treatment of sever…

Manjit Singh, a 33-year-old Indian 457 visa worker, died from hypoxic respiratory failure following a pneumonectomy for treatment of severe pulmonary tuberculosis. He had latent TB identified pre-arrival in India. Critic…

respiratory medicinecardiothoracic surgerydiagnosticcommunicationtuberculosis medications
QLDhospital2015-07-27

KS - Non-inquest findings

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

A 69-year-old man with a history of myocardial infarction and atrial fibrillation presented to a rural hospital with fever, lethargy, tachycardia and elevated troponin. The treating doctor diagnosed NSTEMI based on the e…

emergency medicinecardiologydiagnosticmedicationrivaroxaban
SAhospital2015-07-17

Coroner's Finding: SPIERO Marcel Edward

53y · Male·Sepsis from infected ascites (E. coli) in a man with cirrhosis of the liver, hep…

A 53-year-old male prisoner died of sepsis from E. coli-infected ascites complicated by cirrhosis, hepatocellular carcinoma, and diffuse B-cell lymphoma. He was admitted to hospital in septic shock with acute abdominal p…

infectious diseaseshepatologymorphine
VICcommunity2015-04-05

Finding into death of James Michael Hoctor

93y · Male·Complications following colectomy for Clostridium difficile pancolitis in the se…

A 93-year-old man with a history of antibiotic use for a neck abscess developed diarrhoea during hospitalisation. Despite testing negative for Clostridium difficile at St Vincent's Hospital, he was transferred to a rural…

general practiceinfectious diseasesdiagnosticpenicillin
WAhospital2015-02-26

Inquest into the Death of Peta Susan DOIG

58y · Female·pneumonia and cardiac failure complicated by hypoxic brain injury

A 58-year-old woman with autism and severe intellectual disability died from pneumonia and cardiac failure complicated by hypoxic brain injury following cardiac arrest. She had been institutionalised at Graylands Hospita…

psychiatryintensive carediagnosticdelayazithromycin
TAShospital2015-02-20

Coroner's Finding: Lucas, Troy Dale

41y · Male·multiple injuries sustained in a motorcycle crash with superimposed infection

Troy Dale Lucas, aged 41, died from multiple injuries sustained in a motorcycle crash on 15 May 2012 in East Devonport, Tasmania. He collided head-on with a Toyota Corolla driven by Jacqueline Roberts-Thompson, who was t…

trauma surgeryintensive care
QLDhospital2015-01-29

Carpenter, Harold James

66y · Male·Coronary atherosclerosis with emphysema as secondary cause

Harold James Carpenter, a 66-year-old prisoner with significant comorbidities including ischaemic heart disease, emphysema, hepatitis C and possible malignancy, died from coronary atherosclerosis and emphysema. He presen…

emergency medicineorthopaedic surgeryoxycodone
113141520

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