Coronial

537 results for sepsis

WAhospital2005-09

Inquest into the Death of Maria Donatelli

72y · Female·Peritonitis due to perforated diverticulum in transverse colon

…es were attributed to mechanical dehydration and analgesic effects rather than clinical deterioration from sepsis. The responsible surgeon (Mr Khamhing) was not notified of the deterioration. At approximately 06:30 hours…

general surgeryemergency medicinediagnosticcommunicationtramadol
QLDhospital2019-12-05

Burrows, Frank Leslie

58y · Male·Haemophagocytic lymphohistiocytosis, due to or as a consequence of T-cell lympho…

Frank Burrows, a 58-year-old male prisoner, died from Haemophagocytic Lymphohistiocytosis (HLH) secondary to T-cell lymphoma. He presented with non-specific symptoms (fever, sweats, diarrhoea) and was initially discharge…

general medicinehaematologydexamethasone
TAShospital2026-02-24

Coroner's Finding: Bradley, Steven Basil

65y · Male·Acute on chronic subdural haematoma caused by accidental falls

…hospital. He had metastatic prostate cancer, ischaemic heart disease, and diabetes. On admission for chest sepsis, a CT brain identified a pre-existing subacute subdural haematoma from a prior fall. Despite documented fa…

oncologygeneral medicinesystemdelay
VIChospital2015-07-01

Finding into death of Robert Charles Avery

86y · Male·Septic shock secondary to urosepsis

…view the physician's notes or the ordered blood tests before discharge. Avery was readmitted next day with sepsis from a resistant urinary tract infection and died of septic shock. Key failures included: failure to revie…

surgerygastroenterologycommunicationsystemmixtard insulin
WAhospital2017-03-21

Inquest into the Death of Masaly MOSBY

0y · Female·acute necrotising pneumonia

…sive bacterial pneumonia. Key clinical lessons: in neonates, fever with tachycardia warrants admission for sepsis screening; repeated presentations within 72 hours should trigger escalated assessment; paediatric patients…

emergency medicinepaediatricsdiagnosticsystemparacetamol
VIChospital2010-06-23

Finding into death of Faye Gwynneth Lancashire

68y · Female·Presumed septic shock with multiple organ failure secondary to acute suppurative…

A 68-year-old woman died from septic shock and multi-organ failure secondary to acute suppurative appendicitis complicated by recent peritoneal adhesion division. Admitted on 31 March 2005 with acute abdominal pain, she …

general surgeryanaesthesiagelofusin
SAhospital2006-05-12

Coroner's Finding: MARTIN Kirsten Lee

24y · Female·multi organ failure due to meningococcal septicaemia

24-year-old woman presented to ED with fever (40.1°C), headache, myalgia and mild photophobia. RMO Dr R., relatively inexperienced (5 weeks in Australia), examined her thoroughly but focused on excluding meningitis throu…

emergency medicineinfectious diseasesdiagnosticcommunication
VIChospital2024-12-02

Finding into death of Baby Patel

0y · Unknown·unascertained

A 10-day-old neonate born at 36 weeks gestation presented to hospital with signs of sepsis including hypothermia, lethargy, poor feeding, and jaundice. Critical failures in recognition and triage o…

neonatologypaediatricsdiagnosticcommunicationcefotaxime
WAhospital2020-10-08

Inquest into the Death of Wayne Frederick LEESE

54y · Male·Complications including hepatic encephalopathy, pneumonia and multi-organ failur…

Wayne Frederick Leese, a 54-year-old prisoner, died from complications of hepatitis C and hepatocellular carcinoma including hepatic encephalopathy, pneumonia and multi-organ failure. He collapsed at Acacia Prison on 4 M…

hepatologyemergency medicinemethadone
VIChospital2023-10-30

Finding into death of BCT

2y · Unknown·Hypoxic-ischaemic encephalopathy following sepsis related to abdominal surgical …

…x needs from a genetic disorder (CAMTA1 mutation) who died from hypoxic-ischaemic encephalopathy following sepsis related to bowel perforation after a percutaneous endoscopic gastrojejunostomy (PEG-J) procedure. Critical…

gastroenterologyradiologydiagnosticcommunicationceftriaxone
SAmental health2006-12-21

Coroner's Finding: DOOMA Renato

36y · Male·Multi-organ failure due to consequences of multiple injuries sustained following…

…le, sustaining multiple injuries including head trauma. He died 17 days later from multi-organ failure and sepsis. The coroner identified preventable factors: shortage of extended-care beds forcing retention in unsuitabl…

psychiatrytrauma surgerysystemcommunicationzuclopenthixol
VICcommunity2010-08-06

Finding into death of Lauren Katherine James

26y · Female·Complications of liposuction surgery: sepsis, decreased respiratory function sec…

Lauren James, a 26-year-old woman, died from complications of elective liposuction surgery performed on 19 January 2007. She presented to the clinic on 22 January with severe pain and asymmetrical swelling of her left th…

plastic and reconstructive surgerygeneral practicediagnosticcommunicationpethidine
WAhospital2010-03-03

Inquest into the Death of McLevie

38y · Female·Streptococcus Group A Septicaemia (Post Partum-Puerperal Sepsis)

…vie, a 38-year-old woman, died on 6 April 2006 from untreated Group A Streptococcal septicaemia (puerperal sepsis) following childbirth at Osborne Park Hospital. She developed fever (38°C) at 3am on 5 April, only three h…

obstetricsmidwiferydiagnosticcommunicationparacetamol/codeine
WAhospital2016-05-20

Inquest into the death of Sebastian Keith PARMAN

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

…plicating influenza H1N1 with secondary group A streptococcal infection causing scarlet fever, empyema and sepsis. Multiple clinical failures contributed: an informal unregistered consultation with Dr C. on 14 September …

emergency medicinepaediatricsdiagnosticcommunicationpenicillin
NSW2020-03-25

Inquest into the death of Mahmoud ALLAM

28y · Male·MRSA sepsis

Mahmoud Allam, a 28-year-old man, died from MRSA sepsis whilst in custody at Parklea Correctional Centre. He initially presented with upper respiratory symptoms o…

infectious diseasesemergency medicinecommunicationsystemflucloxacillin
VIChospital2023-01-18

Finding into death of S J

24y · Male·Injuries sustained in fall from height

SJ, a 24-year-old man with recently diagnosed Stage 4B non-Hodgkin lymphoma and pre-existing depression managed by Orygen Youth Health, died by suicide on 22 September 2016 by jumping from the seventh-floor rooftop garde…

psychiatryhaematologycommunicationdelaymetoclopramide
WAhome2015-06-08

Inquest into the Death of Baby C

0y · Male·Group B Streptococcal infection and meconium aspiration with early bronchopneumo…

A newborn died of Group B Streptococcal (GBS) infection and meconium aspiration bronchopneumonia less than three hours after planned home birth. The infant was born to a woman with prior traumatic hospital birth who had …

midwiferyobstetricsdiagnosticdelay
NSWchildcare2026-05-06

Inquest into the death of Arianna Maragol

1y · Female·Rapidly developing Streptococcus pneumoniae infection leading to invasive pneumo…

… 2018. Key clinical lessons emerged: (1) Pneumococcal disease can progress with devastating speed to fatal sepsis with minimal or no inflammatory signs on autopsy; (2) Early clinical recognition is extremely difficult as…

paediatricsemergency medicinesystemcommunicationibuprofen
VIChospital2016-06-21

Finding into death of Summer Jamsek

0y · Female·Persistent pulmonary hypertension in the newborn (PPHN)

…l Children's Hospital. The coroner found Baby Summer died from PPHN but was not satisfied it was caused by sepsis despite low blood sugars and fluctuating oxygen requirements. While Dr M.'s management was generally appro…

obstetricspaediatricsdelayescitalopram
TAShospital2019-08-21

Coroner's Finding: Golus, Peter

65y · Male·escherichia coli urosepsis

Dr G., a 65-year-old psychologist, died from escherichia coli urosepsis following pyeloscopic kidney stone extraction. Post-operative fever developed within 2 hours of surgery. B…

urologyanaesthesiadelaysystemondansetron
117181927

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