Coronial

77 results for early septic shock

QLDhospital2009-12-08

Congoo, Sharon Faye

40y · Female·Bacterial septicaemia from an unknown organism

Sharon Faye Congoo died from overwhelming bacterial septicaemia of unknown origin at age 40. She presented to Mareeba Hospital (a small rural facility) on three occa…

emergency medicineintensive caresystemcommunication
VIChospital2021-12-06

Finding into death of Ingeburg Hildegard Muller

85y · Female·Staphylococcus bacteremia complicating multiple injuries sustained in a motor ve…

…habilitation. She was readmitted with deep wound infection, underwent washouts, and subsequently developed septic shock from Staphylococcus bacteremia secondary to acute kidney injury, dying on 28 August 2018. Clinical l…

emergency medicineintensive caresystemantibiotics
QLDhospital2014-01-31

George, Lynda Margaret - Non-inquest findings

60y · Female·Peritonitis due to anastomotic leak following subtotal colectomy for treatment o…

60-year-old woman died from septic shock due to anastomotic leak following subtotal colectomy for synchronous bowel cancers. Early postoperat…

general surgerycolorectal surgerydiagnosticcommunication
WAhospital2014-10-09

Inquest into the Death of Tamar Jemima Sabbath Stitt

10y · Female·Septic shock and multiple organ failure as complications of advanced metastatic …

Tamar, a 10-year-old girl diagnosed with advanced metastatic hepatoblastoma in August 2009, died from septic shock and multiorgan failure in El Salvador on 12 November 2009. Her treating oncologist Dr A. at Princess…

oncologygeneral practicediagnosticcommunication
SAhospital2010-12-30

Coroner's Finding: D'AGOSTINO Antonia

59y · Female·sepsis due to faecal peritonitis due to perforation of sigmoid colon complicatin…

…nt was scheduled for surgery at 9am but not operated until 8am the following day, by which time she was in septic shock. Expert evidence overwhelmingly supported that surgery should have been performed within 2-3 hours o…

gynaecologygeneral surgerydiagnosticdelaypethidine
QLDhospital2013-09-12

Bligh, William John - Non-inquest findings

9y · Male·Disseminated melioidosis

…rare in children without identifiable risk factors, difficult to diagnose, and carries 80-95% mortality in septic shock despite appropriate antibiotics. Expert reviews concluded earlier diagnosis or intervention would no…

paediatricsinfectious diseasessystemdelayibuprofen
QLDhospitalPodcast2011-10-07

Saunders, Ryan Charles

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 appropri…

paediatricsemergency medicinediagnosticcommunicationparacetamol
NThospital2019-09-20

Inquest into the death of Joanne Craig

57y · Female·multi-organ failure due to sepsis caused by streptococcus pneumoniae infection

…epsis criteria and showing haemodynamic deterioration from 3:30pm with hypotension (86/54) consistent with septic shock, antibiotics were not commenced until 7:20pm. She died at 9:25pm. Multiple failures occurred: her GP…

emergency medicinegeneral practicediagnosticcommunicationondansetron
QLDcommunity2020-09-07

C - Non-inquest findings

6y · Male·Sepsis due to melioidosis

…tal and then to a tertiary paediatric ICU, but despite maximal intensive care including ECMO, he developed septic shock, pneumonia, ARDS, multiorgan failure, and ultimately brain death. Key learning points include implem…

paediatricsinfectious diseasesdiagnosticcommunicationparacetamol
VIChospital2023-07-17

Finding into death of Sasha

12y · Female·Hypoxic ischaemic encephalopathy complicating an aortic root abscess (operated) …

…and reliance on facsimile as sole communication method. The child developed an aortic root abscess causing septic shock, cardiac arrest, and eventually hypoxic-ischaemic brain death. Medical experts agreed antibiotics al…

paediatricsinfectious diseasescommunicationsystem
VIChospitalNew2026-07-01

Finding into death of HJW

69y · Female·Urosepsis secondary to anuric acute renal failure and corona radiata infarct; co…

…ed until the MET call, despite her being a vomiting diabetic with serious infection. She deteriorated into septic shock, required ICU admission, and died on 26 June 2024 from urosepsis with multi-organ failure. The coron…

emergency medicinegeneral medicinediagnosticdelayfentanyl
SAhospital2002-05-17

Coroner's Finding: MITTA Wilhelmina

88y · Female·sepsis of unknown origin

… unknown origin (possibly perforated bowel, diverticulitis, colitis, or ischaemic bowel). Clinical lesson: early recognition of physical illness in elderly patients with dementia and behavioural problems is challenging …

geriatric medicinepsychiatrydiagnosticanti-psychotic medication
WAhospital

Inquest into the death of Amanda Dana TAUAI

21y · Female·Multiple organ failure due to undefined sepsis (toxic shock syndrome)

Amanda Dana Tauai, 21 years old, died from septic shock with multi-organ failure in March 2012 after presenting with symptoms initially consistent with vira…

general practiceemergency medicinediagnosticcommunicationmetoclopramide
QLDhospital2012-12-06

McNaught, Judith

69y · Female·Septic shock due to biliary peritonitis as a consequence of laparoscopic cholecy…

A 69-year-old woman died of septic shock following bile leak complications after laparoscopic cholecystectomy. Critical failures included: (1…

surgeryanaesthesiadiagnosticmedicationmorphine
QLDhospital2015-08-28

Wright, Verris Dawn; Carter, Jasmyn Louise

Female·Verris Dawn Wright: septic shock due to small bowel ischaemia secondary to small…

…rioration in rural hospital patients. Mrs Wright, 86, presented with abdominal pain and a low temperature (early sepsis), but staff did not escalate when she deteriorated over four hours. No doctor reviewed her before s…

emergency medicinegeneral practicediagnosticcommunication
NThospital2019-04-16

Inquest into the death of Ali Achmadun Djawas

70y · Male·multi-organ failure due to septic shock consequent on faecal peritonitis due to …

…eeded well until day 6 when he was discharged. On day 10, he developed an anastomotic leak with subsequent septic shock. Late re-admission and emergency surgery could not prevent multi-organ failure. Death was preventabl…

colorectal surgerygeneral surgerydiagnosticcommunicationmethylnatrexone
WAhospital2020-12-01

Inquest into the Death of Tahlia Rose BEMBRIDGE

4y · Female·volvulus of the large intestine

…ee-ground vomiting and increased tenderness developed. During RFDS transfer, she deteriorated acutely with septic shock. Post-mortem revealed caecal volvulus with intestinal ischaemia. The coroner found care was reasonab…

paediatricsemergency medicinecommunicationdelay
VIChospital2015-07-01

Finding into death of Robert Charles Avery

86y · Male·Septic shock secondary to urosepsis

… discharge. Avery was readmitted next day with sepsis from a resistant urinary tract infection and died of septic shock. Key failures included: failure to review progress notes and blood test results before discharge, in…

surgerygastroenterologycommunicationsystemmixtard insulin
VIChospital2022-08-29

Finding into death of Helen Welsh

63y · Female·Escherichia coli septicaemia in a lady with multiple comorbidities

Helen Welsh, 63, died from E. coli septicaemia with multiple comorbidities. She presented with respiratory symptoms and underwent bronchoscopy. On d…

cardiothoracic surgeryemergency medicinedelaydiagnosticcarbimazole
QLDhospital2025-10-01

Non-inquest findings into the death of Mr S

26y · Male·Multi-organ failure due to pneumococcal septic shock

A 26-year-old man presented with chest and abdominal pain, initially diagnosed with possible hepatitis based on elevated liver function tests. He developed an atypical blanched rash not recognised as varicella zoster (ch…

emergency medicineinfectious diseasesdiagnosticdelayantacid

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