Coronial

537 results for sepsis

SAcommunity2017-12-18

Coroner's Finding: WILSON Jason

40y · Male·drowning

Jason Wilson, a 40-year-old Aboriginal man, drowned in the River Murray while evading police questioning regarding a minor theft. He had recently undergone major abdominal surgery (partial gastrectomy, pancreatic duct st…

general surgerygastroenterology
QLDhospital2016-11-14

Ms H - non-inquest findings

23y · Female·Necrotising retroperitoneal fasciitis due to acute perforated gangrenous appendi…

…tus. She re-presented 2 May with perforated appendicitis causing necrotising retroperitoneal fasciitis and sepsis, dying 7 May 2015 despite surgical intervention. Key clinical lessons: presumption of capacity may not app…

emergency medicinesurgerysystemdiagnosticparacetamol
QLDaged care2018-12-19

Simons, Kathleen

96y · Female·Pseudomonas aeruginosa sepsis secondary to infected leg ulcers, complicated by m…

…er involvement was poorly documented. The patient was admitted to hospital only in June 2015 with advanced sepsis from pseudomonas infection in the leg ulcers; she died three days later. The coroner found inadequate woun…

geriatric medicinegeneral practicediagnosticcommunicationcefalexin
QLDaged care2018-04-09

Enid Patricia Hiddle - Non-inquest findings

81y · Female·Acute pyelonephritis (kidney infection) in combination with severe coronary arte…

…l examination or take observations despite two-week absence. An undiagnosed kidney infection progressed to sepsis. Better communication between hospital and primary care, timely urine testing with documented results, cli…

general practiceemergency medicinediagnosticcommunication
VIChospital2025-10-28

Finding into death of Kenneth James Anderson

85y · Male·Liver ischaemia and portal vein thrombosis complicating emergency cholecystectom…

… multi-organ failure. The coroner found no want of care: surgery was necessary (patient would have died of sepsis), consent was appropriate, preoperative imaging was standard, and the extent of Mirizzi's syndrome could o…

general surgeryintensive careantibiotics
VIChospital2024-03-15

Finding into death of Kathleen Mary Savage

67y · Female·Pulmonary thromboembolism arising from deep vein thrombosis of the left leg

…monary thromboembolism and deep vein thrombosis following a 13-day hospital admission for constipation and sepsis. She collapsed immediately after discharge. The coroner found that Alexandra District Health failed to ass…

general practiceemergency medicinediagnosticdelay
WAhome2016-11-22

Inquest into the Death of Maria Carmel NICEFORO

75y · Female·organ failure due to sepsis, likely from infected pressure sores, in the context…

Maria Carmel Niceforo, a 75-year-old woman with poorly controlled diabetes and ischaemic heart disease, died from septic shock secondary to extensive infected sacral pressure wounds. She received home care through KinCar…

general practiceemergency medicinecommunicationsystem
SA2021-11-25

Coroner's Finding: Hancott, Duncan John

56y · Male·urosepsis

Duncan John Hancott, aged 56, died in Mount Gambier Prison from urosepsis secondary to urinary tract infection caused by E. coli. He had significant comorbidities including hepatic…

infectious diseaseshepatologydiagnosticamitriptyline
QLDhospital2016-05-06

Sweet, Lilli

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

…itical clinical lessons include: (1) asplenic children presenting with fever must be treated for bacterial sepsis until proven otherwise, regardless of appearing clinically well; (2) high white cell counts (46.5) in aspl…

paediatricsemergency medicinediagnosticcommunicationparacetamol
NSWhospital2019-12-13

Inquest into the death of Lorraine BARNES

85y · Female·sepsis, with aspiration pneumonitis being an antecedent cause. Iatrogenic injury…

Lorraine Barnes, an 85-year-old woman admitted to Wollongong Private Hospital for convalescence, died from sepsis with aspiration pneumonitis following iatrogenic lung injury. She developed severe malnutrition and electr…

general medicinerespiratory medicinediagnosticsystemciprofloxacin
NSWhospital2025-08-14

Inquest into the death of Margaret Mariani

88y · Female·Complications of cholecystectomy surgery

Margaret Mariani, 88, died from complications of laparoscopic cholecystectomy for gallstone-induced pancreatitis. An iatrogenic small bowel perforation, likely caused by inadvertent suturing during closure, led to perito…

surgerygeneral surgerycommunicationdelayfentanyl
SAhospital2025-06-12

Coroner's Finding: Salter, Kathleen Ethel

76y · Female·multi-organ failure and sepsis due to complications of cholecystectomy

A 76-year-old woman died from multi-organ failure and sepsis following a laparoscopic cholecystectomy at a rural hospital. During surgery, the surgeon became misorient…

general surgeryanaesthesiadiagnosticproceduralapixaban
WAhospital2023-06-29

Inquest into the Death of Child R (Name Subject to Suppression Order)

11y · Female·Complications of E. coli sepsis in association with intestinal obstruction due t…

…k Hospital on 5 January 2017 with severe abdominal pain and vomiting. She died 12 hours later from E. coli sepsis associated with intestinal obstruction due to faecal impaction of megacolon. Critical delays in management…

paediatricsemergency medicinediagnosticcommunicationmacrogol
SAaged care2013-11-29

Coroner's Finding: BETTS Lawrence

9y · Male·sigmoid volvulus

Lawrence Betts, a 9-year-old Aboriginal boy with Goldenhar syndrome and developmental disability including pica (ingesting foreign substances), died from sigmoid volvulus complicated by ingestion of soil, sand, and stone…

paediatricsgastroenterologysupervisionsystem
NSWhospital2019-05-14

Inquest into the death of Shaun BELL

4y · Male·Peritoneal sepsis caused by a perforated duodenal ulcer

…year-old boy with significant global developmental delay and non-verbal communication died from peritoneal sepsis caused by a perforated duodenal ulcer. Presentation included lethargy, poor oral intake, low haemoglobin (…

emergency medicinepaediatricsdiagnosticcommunication
VIChospital2016-10-24

Finding into death of Child A

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…

paediatricsemergency medicineondansetron
VICaged care2025-09-15

Finding into death of Arto Aaro Bohm

74y · Male·Sepsis secondary to infected pressure wounds (necrotising fasciitis) in a man wi…

…n with multiple comorbidities (diabetes, obesity, respiratory failure, mental health conditions) died from sepsis secondary to necrotising fasciitis of pressure wounds developed while in aged care. Key clinical failures …

geriatric medicinegeneral practicesystemcommunication
TAShospital2018-05-30

Coroner's Finding: Forward, Trudi Maree

53y · Female·sepsis and multiple organ failure attributable to infarction/necrosis of small b…

…ctomy and bowel resection, the patient developed extensive small bowel necrosis and died on 27 August from sepsis and multiple organ failure. Key failures: failure to consider mesenteric ischaemia in differential diagnos…

emergency medicinegeneral surgerydiagnosticdelay
SAhospital2007-08-02

Coroner's Finding: GILLAM Peter Roy

44y · Male·Sepsis and pulmonary thromboemboli complicating a ruptured cerebral artery aneur…

Peter Gillam, age 44, died from sepsis and pulmonary thromboemboli complicating a ruptured cerebral aneurysm with subarachnoid haemorrhage (SAH).…

emergency medicinegeneral practicediagnosticcommunicationsalbutamol
VICaged care2020-01-30

Finding into death of Adele Di Quinzio

86y · Female·Sepsis complicating sacral decubitus ulceration in the setting of recent surgica…

Mrs Di Quinzio, an 86-year-old woman with multiple comorbidities, was discharged from hospital to a supported residential service (SRS) after hip fracture surgery. She required two-person assistance for mobility and was …

geriatric medicineorthopaedic surgerysystemcommunicationcefalexin
116171827

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