545 results
0y · Male·Urosepsis and renal failure in a child with acute on chronic pyelonephritis seco…
An 11-month-old boy with undiagnosed posterior urethral valves and hydronephrosis presented with fever, respiratory distress, and lethargy over three days. He was assessed by multiple GPs and presented to the ED at Werri…
2y · Male·drowning
A 2-year-old child drowned in a backyard swimming pool at a rental property after inadequate supervision and faulty pool safety barriers. The child woke while his mother slept and accessed the pool via either an unlocked…
0y · Female·Sudden Infant Death Syndrome (Category 2)
A 4-week-old infant died from Sudden Infant Death Syndrome Category 2 in an unsafe co-sleeping environment. She was placed on a mattress on the lounge room floor between her parents, who were also sleeping on the mattres…
11y · Female·Acute Staphylococcal Septicaemia due to suppurative arthritis of the left ankle
An 11-year-old Aboriginal girl died from acute staphylococcal septicaemia following an ankle injury. She presented three times over three days with escalating signs of infection (fever, tachycardia, tachypnoea, swollen w…
10y · Female·Ischaemic large bowel; large bowel obstruction secondary to chronic constipation
Child W, aged 10, died from ischaemic large bowel secondary to chronic constipation and faecal impaction. She had lifelong constipation and encopresis (soiling) from infancy, presenting to her GP twice (2008, 2010) with …
0y · Female·Pneumonia in an infant with surgically repaired congenital heart disease, premat…
A 9.5-month-old girl with complex medical history (prematurity at 29 weeks, congenital heart disease status post multiple repairs, necrotising enterocolitis with ileostomy, failure to thrive) died from acute pneumonia ca…
0y · Female·acute necrotising pneumonia
Masaly Mosby, a 36-day-old Aboriginal infant, died from acute necrotising pneumonia after presenting to Broome Hospital Emergency Department three times in four days but never being seen by a doctor for formal assessment…
19y · Female·echovirus type 9 infection (myocarditis and pneumonitis)
A 19-month-old child died of echovirus type 9 myocarditis and pneumonitis after rapid deterioration while on holiday. She presented to a small rural hospital with fever, altered consciousness, and seizure activity. The t…
1y · Female·aspiration of gastric contents due to recent gastroenteritis and vomiting leadin…
Bridgett Currah was a 19-month-old girl with complex medical needs including cyanotic congenital heart disease, gastro-oesophageal reflux, and feeding difficulties. She presented to Mildura Base Hospital on 21 May 2013 w…
0y · Female·Sudden Infant Death Syndrome (SIDS Category I)
Livinia Rose Kenna, a 19-day-old infant, died from Sudden Infant Death Syndrome (SIDS Category I) on 16 April 2016. She was placed to sleep in a bassinet with multiple unsafe sleeping practices: prone positioning, multip…
10y · Female·Multi-organ failure secondary to overwhelming herpes simplex virus (HSV) infecti…
A 10-year-old girl died from multi-organ failure secondary to overwhelming herpes simplex virus (HSV) infection. She presented to the Women's and Children's Hospital on day 3 of pharyngitis with ulceration of the tonsill…
0y · Female·Perinatal asphyxia
Baby XY, a 41-week-old newborn, died from perinatal asphyxia six hours after birth at Sunshine Hospital. The primary clinical lesson involves diagnostic failure: the mother was not diagnosed with gestational diabetes dur…
0y · Male·Traumatic head injury
A five-month-old boy died from traumatic head injury. Initial medical disagreement about whether injuries were from accidental fall or non-accidental trauma delayed investigation. The child presented with extensive bruis…
0y · Male·Complications of hypoxic ischaemic encephalopathy secondary to recurrent episode…
Kyran Day, a 6-month-old boy, presented to Shoalhaven District Memorial Hospital with vomiting and lethargy on 19 October 2013. He was initially assessed and diagnosed with gastroenteritis based on recent rotavirus vacci…
16y · Female·mixed drug toxicity (oxycodone, citalopram, fluoxetine and quetiapine)
JF, aged 16, died by intentional overdose of prescription medications after being removed from her long-term foster home. JF had a history of depression, borderline personality disorder, reactive attachment disorder, and…
3y · Male·Streptococcus pyogenes group A pneumonia
Hugo Gardiner, a 3-year-old boy with fever, cough, vomiting and diarrhoea, was assessed twice at Mount Beauty Medical Centre on 23 December 2015 by GPs who diagnosed viral upper respiratory tract infection. Both doctors …
10y · Male·Unascertained - sudden and unexpected death; evidence did not allow determinatio…
Ezekiel Howard, a 10-year-old boy, died suddenly in his sleep on 12 September 2011. His death remains unexplained despite extensive investigation. The coroner could not determine whether death resulted from undiagnosed e…
2y · Male·Hypoxic-ischaemic encephalopathy due to cardiorespiratory arrest secondary to up…
A 2-year-old boy presented to hospital with croup (parainfluenza 1 laryngotracheobronchitis) on 13 July 2013. He was given nebulised adrenaline by ambulance and dexamethasone at hospital, then discharged after only 3 hou…
3y · Male·thrombotic microangiopathy
A 3-year-old child died from thrombotic microangiopathy (haemolytic uraemic syndrome) secondary to Shiga toxin-producing E. coli infection, likely acquired from consumption of unpasteurised milk. Early presentation to GP…
15y · Female·asphyxia due to hanging
Eden Jayde Westbrook, a 15-year-old high school student, died by suicide on 17 February 2015. She had experienced depression for some time without formal diagnosis, had a history of self-harm and suicide attempts, and ha…
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