57y · Male·Lung abscess and bronchopneumonia
Terrence Michael O'Sullivan, a 57-year-old man with intellectual disability, blindness, deafness and epilepsy, died from lung abscess and bronchopneumonia caused by Klebsiella oxytoca. He presented with a pressure wound …
64y · Male·Pneumonia secondary to ischaemic cerebrovascular incidents, hypertension, and at…
Yan Jin, a 64-year-old man with history of stroke, hypertension, and atrial fibrillation, was admitted to hospital after a witnessed fall from bed. Despite no fractures, he remained hospitalised for discharge planning gi…
54y · Female·Complications of metastatic cholangiocarcinoma
YIL was a 54-year-old woman with Down syndrome who died from complications of metastatic cholangiocarcinoma. She had been appropriately transitioned to palliative care in 2024 after her cancer progressed despite chemothe…
61y · Male·Right lower lobe pneumonia
Graeme William Kenny, a 61-year-old man with trisomy 21 and dementia, died from right lower lobe pneumonia on 25 December 2024 at Monash Medical Centre following palliative care. He developed upper respiratory symptoms o…
41y · Male·acute, severe hydrocephalus contributed to by longstanding chronic hydrocephalus…
Benjamin Cullen, aged 41, died on 25 February 2021 from acute severe hydrocephalus secondary to a brain tumour abutting the cerebral aqueduct. He suffered three seizures on 23 February 2021, two days after release from P…
51y · Female·Multiorgan failure in the setting of WHO Class III obesity, chronic excessive al…
A 51-year-old woman with WHO Class III obesity, chronic alcohol consumption, and anaemia died of multiorgan failure following admission with community-acquired pneumonia and respiratory failure. She presented with abdomi…
75y · Female·Pneumonia
Carol Denise Jackson, a 75-year-old woman with cerebral palsy, intellectual disability, and dysphagia residing in specialist disability accommodation, died of pneumonia following a short hospital admission. She presented…
33y · Male·Marburg variant of multiple sclerosis
Jason Menzies, aged 33, died in custody from Marburg variant multiple sclerosis after rapid neurological deterioration. He initially presented with urinary retention on 1 December 2022, which was appropriately investigat…
90y · Female·Right acute on chronic subdural haematoma sustained in a fall in the setting of …
A 90-year-old woman on warfarin for atrial fibrillation suffered an unwitnessed fall with head strike at an aged care facility. She presented to hospital where a small subdural haemorrhage was not detected on initial CT …
75y · Male·Aspiration pneumonia in the setting of epilepsy and cerebral palsy
Raymond Charles Levy, a 75-year-old man with cerebral palsy and epilepsy living in supported disability accommodation, died from aspiration pneumonia. He presented to hospital with fatigue, fever and cough on 18 October …
42y · Female·Pneumonia, underlying severe cerebral palsy
Rachel Piskun, aged 42, died from pneumonia complicated by severe cerebral palsy. She had severe disabilities requiring 24-hour care in supported accommodation. During a September 2021 hospitalization, compression stocki…
57y · Male·Pneumonia with contributing factors of trisomy 21 and early Alzheimer's dementia
Graham Keith Moore, a 57-year-old man with Down syndrome and early Alzheimer's dementia, died of pneumonia at Bendigo Hospital on 11 February 2025. He resided in specialist disability accommodation and received NDIS-fund…
57y · Female·Multi-organ failure due to drug-induced liver injury caused by sodium valproate …
Mrs Doherty, a 57-year-old woman with CADASIL syndrome, was prescribed sodium valproate for migraine prophylaxis in November 2019. She developed acute hepatitis approximately 5 months later, presenting with jaundice, nau…
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…
77y · Female·Complications of malnutrition in a woman with paranoid delusions
A 77-year-old woman with complex medical and psychiatric history died from complications of malnutrition while an inpatient with paranoid delusions and delirium. She was admitted following falls and required compulsory t…
46y · Female·Hepatic encephalopathy due to decompensated Child-Pugh C cirrhosis and meningiti…
This combined coronial finding examines three deaths at the Centre for National Resilience (CNR), a COVID-19 quarantine facility in Howard Springs. Ms Dick died from rapidly progressive melioidosis. David Hardy died from…
61y · Male·Aspiration pneumonia in a man with cerebral palsy
John Mark Robinson, 61, died from aspiration pneumonia complicated by cerebral palsy. He presented to hospital on 29 March 2024, initially had end-of-life care initiated, then improved and was being discharged home. He s…
60y · Female·Pneumonia with large pleural effusion
Ms Wood, a 60-year-old woman with Down syndrome, Alzheimer's disease and epilepsy residing in specialist disability accommodation, developed pneumonia with large pleural effusion and died in hospital. A speech pathologis…
63y · Female·Natural causes unascertained; probable aspiration pneumonia with large pericardi…
Catherine Stephen, a 63-year-old woman with cerebral palsy, spastic quadriplegia, epilepsy, and kyphoscoliosis, died from natural causes unascertained at a hospice following palliative care. She had been admitted to hosp…
68y · Male·Community acquired chest infection secondary to C6 quadriplegia secondary to rem…
Arnold Polis, a 68-year-old man with C6 quadriplegia from a 1972 diving accident, died from community-acquired chest infection complicated by heart failure. He had recurrent respiratory and urinary tract infections relat…
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