383 results
17y · Male·Multi-organ failure with terminal fungal sepsis (Aspergillus) on a background of…
Ben Witham, a 17-year-old with acute lymphoblastic leukaemia, died from multi-organ failure with terminal fungal sepsis. The critical issue identified was a substantial delay in investigating acute severe abdominal pain …
50y · Male·Complications of right buttock necrotising fasciitis secondary to chronic right …
50-year-old male with chronic pain from jockey injuries became dependent on morphine. General practitioner prescribed intramuscular (IM) morphine for self-administration at home from 2005–2007 at doses of 120–240mg daily…
53y · Female·Complications of post-natal encephalitis including epilepsy; sudden unexpected n…
A 53-year-old woman with post-natal encephalitis, deaf, blind, and intellectually disabled, who had been in residential care since age 6, died suddenly at night in her community residential unit. She was found on the flo…
46y · Male·Septic shock complicating pneumonia in the setting of spastic quadriplegia and e…
Gregory Dean Coutts, a 46-year-old man with intellectual disability, spastic quadriplegia, and epilepsy living in a Department of Human Services group home, died from septic shock complicating pneumonia. On 3 October 201…
0y · Female·Hypoxic brain injury secondary to pneumonia and pulmonary haemorrhage
Pruseyus Sharp was a 39-day-old neonate who died from hypoxic brain injury secondary to pneumonia and pulmonary haemorrhage caused by picornavirus infection. She presented with severe apnoea and minimal preceding symptom…
Salmonella infection contributing to deaths in gastroenteritis outbreak
Four elderly residents of Broughton Hall aged care facility died during a 2007 Salmonella gastroenteritis outbreak. A three-day delay in notifying the Department of Health (April 7 to April 10) prevented early identifica…
79y · Male·Septicaemia — Septic Arthritis Right Knee
Michael Cleary, 79, died from septicaemia and septic arthritis of the right knee following a fall from a truck on 18 March 2011. He initially declined medical treatment despite significant health deterioration. After a M…
52y · Male·HIV infection complicated by basal and squamous cell carcinoma of the head and n…
Bruce Jason Garrett, a 52-year-old prisoner detained under the Dangerous Sexual Offenders Act, died at Royal Perth Hospital on 2 October 2010 from HIV infection complicated by basal and squamous cell carcinoma of the hea…
16y · Male·Pneumonia complicating influenza A (H1N1) infection with secondary Staphylococcu…
Andrew Allan, a 16-year-old student, died from pneumonia complicating influenza A (H1N1) infection with secondary Staphylococcus aureus septicaemia. He presented to Northam Regional Hospital Emergency Department on 16 Se…
56y · Male·disseminated nocardiosis involving central nervous system, kidneys, liver and th…
Allan Kenneth Miller, 56, died from disseminated nocardiosis (rare bacterial infection) that was not diagnosed during his 12-day RAH admission. Clinicians initially suspected metastatic lung cancer based on presentation …
90y · Female·Renal failure secondary to gentamicin therapy for urinary tract infection (sepsi…
Ellen O'Connor, a 90-year-old woman with renal artery stenosis and coronary artery disease, died from acute renal failure following gentamicin administration for Pseudomonas aeruginosa urinary tract infection. A single 2…
43y · Male·Septic shock from streptococcus pneumoniae sepsis arising from streptococcus pne…
David Crisfield, a 43-year-old immunosuppressed patient with COPD on Crohn's disease therapy, died from streptococcus pneumoniae septic shock. He presented to a rural hospital ED on 6 November 2007 with respiratory compr…
45y · Female·Pneumonia complicating cerebral palsy and epilepsy
Claire Fogarty was a 45-year-old woman with severe cerebral palsy, epilepsy and intellectual disability who was profoundly disabled and resided in a supported care facility. She developed a cough and wheeze on 24 Decembe…
37y · Male·acute viral pneumonia secondary to swine flu (H1N1) infection of the lungs, exac…
Steven Andrew Forbes, age 37, died of acute viral pneumonia secondary to H1N1 influenza, complicated by chronic rheumatic heart disease. He died in police/correctional custody following arrest at hospital discharge for a…
65y · Male·complications of end stage chronic obstructive pulmonary disease
Ralph James McCracken, aged 65, died from complications of end-stage COPD following a complex hospital admission. He presented with acute limb ischaemia requiring femoral embolectomy, subsequently developed compartment s…
46y · Male·Acute hypoxic brain damage resulting from intentional self-inflicted hanging
A 46-year-old male prisoner died from acute hypoxic brain damage following self-inflicted hanging in custody. He had a history of physical health issues including HIV and mental health concerns including anger management…
Multiple: pneumonia with cardiomyopathy (Kugena female); septic shock from pneum…
Concurrent coronial inquests into six Aboriginal deaths in Ceduna, South Australia between 2004-2009. All deceased had severe alcohol addiction and comorbidities including pneumonia, cardiomyopathy, liver disease, and se…
18y · Male·Hypoglycaemic hypoxic-ischaemic encephalopathy, due to massive liver necrosis, d…
An 18-year-old remand prisoner died from acute liver failure secondary to Hepatitis B and C infection. He presented with fever and malaise on 15 February but was assessed only for boils and not thoroughly evaluated. Clin…
2y · Male·Group A Streptococcal toxic shock syndrome which probably originated in the thro…
Ryan Saunders, a 2-year-old boy, died from Group A Streptococcal toxic shock syndrome after a 72-hour presentation with fever, pain, and systemic illness. Initial GP care was appropriate given the presentation and diagno…
53y · Male·Multi-organ failure due to sepsis
Matthew Tiers, a 53-year-old Aboriginal man with extensive comorbidities including alcoholic liver disease, was arrested and detained at Rockhampton Watchhouse then transferred to Capricornia Correctional Centre. He deve…
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