Coronial
NSWhospital2018-12-17

Inquest into the death of Jarrod Wright

42y · Male·Cardiac arrest following hypoxic ischaemic encephalopathy, likely due to E.coli …

Jarrod Wright, a 42-year-old man admitted with cellulitis, developed sepsis-related acute respiratory distress syndrome (ARDS) requiring ICU care with non-invasiv…

intensive careinfectious diseasescommunicationsystemmeropenem
QLDaged care2024-10-10

Non-inquest findings into the death of Diane Margaret Crowther

76y · Female·multiple organ failure due to abdominal wall cellulitis (surgically treated)

…ple comorbidities in residential aged care, died from multiple organ failure secondary to abdominal wall cellulitis. A critical care failure occurred when an old dressing left in an abdominal skin fold on 10 August 2023 …

geriatric medicineplastic and reconstructive surgerydiagnosticcommunicationhydrozole cream
VIChospital2024-08-12

Finding into death of Heather Maree Smith

64y · Female·Complications of hospital acquired pneumonia and COVID-19 infection

…ation, died from complications of hospital-acquired pneumonia and COVID-19 infection. She presented with cellulitis on 6 December 2022 and was admitted to hospital on 7 December. Over the subsequent three weeks, she expe…

general practiceemergency medicineantibiotics
VIChome2026-07-17

Finding into death of J H

41y · Male·Combined effects of mixed drug toxicity (amphetamine, alprazolam, bromazolam, co…

…zene, compounded by bronchopneumonia. Following tattooing on 31 May–1 June 2023 that raised suspicion of cellulitis, he was referred urgently to Box Hill Hospital on 2 June 2023 for assessment of suspected sepsis. Althou…

general practiceemergency medicineamphetamine
TAShospital2024-07-03

Coroner's Finding: Wragg, Dennis Edward

95y · Male·Head injuries (subarachnoid haemorrhage, frontal bone fracture and contrecoup) s…

A 95-year-old man admitted to hospital for fluid overload and cellulitis related to heart failure fell in his hospital room on day 11 of admission whilst attempting to walk to t…

general medicineneurosurgerysystemprocedural
SAhospital2009-09-11

Coroner's Finding: LANGFORD Peter

64y · Male·hospital-acquired pneumonia on a background of end-stage cryptogenic liver cirrh…

…ryptogenic liver cirrhosis after a 43-day admission to Flinders Medical Centre. He presented with severe cellulitis requiring amputation and developed hepatic encephalopathy with poor cognitive function, refusing essenti…

gastroenterologygeneral medicinesystemlactulose
QLDhospital2026-04-14

Inquest into the death of Francis Michael Fahey

70y · Male·Metastatic melanoma with ischaemic heart disease as a contributing condition

Francis Michael Fahey, a 70-year-old prisoner, died from metastatic melanoma with contributing ischaemic heart disease. He presented with a rapidly enlarging axillary mass in February 2023, confirmed as metastatic melano…

oncologygeneral medicinesystemdelayimmunotherapy
NSWcustody2025-07-23

Inquest into the death of James Cunneen

60y · Male·Ischaemic heart disease with a bleeding duodenal ulcer being a significant contr…

James Joseph Cunneen, a 60-year-old man with significant medical comorbidities (ischaemic heart disease, diabetes, peripheral arterial disease), died from cardiac arrest due to ischaemic heart disease with a bleeding duo…

general practiceinfectious diseasesdiagnosticmedicationpantoprazole
WAhospital2021-08-06

Inquest into the Death of Alex Carl MILLS

76y · Male·Sepsis, with osteomyelitis and infective endocarditis

…y osteomyelitis and infective endocarditis. Over 9 months, he experienced recurrent infections including cellulitis, MRSA bacteraemia, and urinary tract infection. A critical clinical lesson involves early recognition of…

infectious diseasescardiologydiagnosticdelayprednisolone
QLDhospital2007-11-23

Scholz, Karl David

31y · Male·Upper airway obstruction due to pharyngeal abscess caused by dental abscess, whi…

…n due to pharyngeal abscess originating from untreated dental infection. He presented with severe facial cellulitis and abscess following dental procedures on 17 May 2002 and underwent emergency drainage surgery. Critica…

intensive careanaesthesiadiagnosticcommunicationamoxicillin
SAhospital2000-07-21

Coroner's Finding: TILBROOK James Henry

76y · Male·pneumonia

A 76-year-old man with dementia, detained under the Mental Health Act at Glenside Hospital, died of pneumonia. He had multiple comorbidities including congestive cardiac failure and irregular pulse. On 3 November, his pn…

psychiatrygeneral medicinemorphine
WAhospital2003-08

Inquest into the Death of Richard Christopher Jankowski

39y · Male·Hypoxic brain injury due to respiratory obstruction following surgery for dental…

…ypoxic brain injury due to respiratory obstruction following emergency surgery for a dental abscess with cellulitis. After initial treatment with antibiotics, he underwent incision and drainage at Royal Perth Hospital. H…

anaesthesiageneral surgeryproceduralcommunicationpropofol
TAShome2018-11-05

Coroner's Finding: Unwin, David Paul

55y · Male·probable sepsis in the setting of immunosuppression, a skin wound and chronic di…

David Paul Unwin, a 55-year-old kidney transplant recipient with polycystic kidney disease, died of sepsis in January 2017. He presented with progressive symptoms including chronic diarrhoea, weight loss (16kg in 8 weeks…

nephrologygeneral practicediagnosticdelay
VIChospital2023-11-30

Finding into death of Vincenzo Mario Chiarello

57y · Male·Combined effects of aspiration pneumonia and epilepsy (with cerebral palsy as un…

Mr Vincenzo Mario Chiarello, a 57-year-old man with cerebral palsy, intellectual disability, and epilepsy living in specialist disability accommodation, died from combined aspiration pneumonia and epilepsy complicated by…

infectious diseasesneurology
NThospital2017-01-13

Inquest into the death of Ray Gibson

41y · Male·respiratory arrest secondary to advanced metastatic breast cancer

Ray Jabaltjari Gibson was a 41-year-old Aboriginal man with advanced metastatic breast cancer who died of respiratory arrest while in prison custody. He had been diagnosed with breast cancer in 2013 while imprisoned and …

oncologypalliative carechemotherapy
TAShome2026-01-22

Coroner's Finding: Kerrie Dawn Grant

72y · Female·acute on chronic renal failure due to sepsis and chronic left leg cellulitis

Kerrie Dawn Grant, a 72-year-old woman with multiple comorbidities including pulmonary hypertension, cardiac failure, COPD, and myelofibrosis, had a well-documented history of recurrent falls with prolonged periods unabl…

general medicinecardiologydischargecommunication
VIChospital2024-03-19

Finding into death of Craig Ashley Hill

53y · Male·Cardiomegaly in a man with obesity and chronic liver disease

Craig Ashley Hill, a 53-year-old man with multiple comorbidities including obesity, chronic liver disease with cirrhosis, cardiomegaly, hypertension, diabetes, and mental health conditions, died suddenly in hospital from…

psychiatrycardiologydiazepam
VIChospital2025-07-15

Finding into death of Linda Snadden

62y · Female·Aspiration pneumonia in the setting of refractory focal status epilepticus

Linda Snadden, a 62-year-old woman with cognitive decline, brain tumour history, and multiple comorbidities including severe sleep apnoea and pulmonary hypertension, died from aspiration pneumonia during refractory focal…

neurologyneurosurgeryanti-seizure medications
VICmental health2014-12-23

Finding into death of David John McLeod

58y · Male·Cardiomegaly and severe single vessel coronary artery atherosclerosis in a man w…

David John McLeod, a 58-year-old man with schizoaffective disorder, was admitted to a psychiatric inpatient unit on 21 August 2012 following mental health deterioration. He presented with signs of infection, received app…

psychiatrygeneral medicinerisperidone
QLDhome2020-06-02

Lee, Mason Jet

1y · Male·Abdominal injuries (perforation of small bowel and mesentery with peritonitis pr…

…d with severe neglect. Mason was admitted to hospital in February 2016 with severe perianal injuries and cellulitis, consistent with abuse and neglect. Despite clear medical evidence of serious harm, the Department of Ch…

paediatricsinfectious diseasesdiagnosticsystemmethamphetamine

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