43 results
30y · Male·Disseminated mycobacterium avium complex infection complicating HIV infection
A 30-year-old man with HIV infection died from disseminated mycobacterium avium complex (MAC) infection. He had been subject to a guardianship order since July 2013 due to repeated refusal of antiretroviral therapy and o…
53y · Male·sepsis due to spontaneous bacterial peritonitis on a background of end stage liv…
Kevin Arnold Cailes, 53, died from sepsis due to spontaneous bacterial peritonitis on a background of end-stage liver failure. He had cirrhosis diagnosed in 2011 with alcoholism as the likely cause, and despite repeated …
53y · Male·Sepsis from infected ascites (E. coli) in a man with cirrhosis of the liver, hep…
A 53-year-old male prisoner died of sepsis from E. coli-infected ascites complicated by cirrhosis, hepatocellular carcinoma, and diffuse B-cell lymphoma. He was admitted to hospital in septic shock with acute abdominal p…
73y · Female·general inanition due to dysphagia on a background of multiple neurological and …
A 73-year-old woman with bipolar disorder, alcohol abuse history, and multiple medical comorbidities presented with stroke-like symptoms in March 2012. Neuroimaging was unrevealing. She was detained under the Mental Heal…
65y · Male·sepsis due to aspiration pneumonia
David Stanley Ayres, aged 65, died from sepsis due to aspiration pneumonia while in hospital detention under a Mental Health Act order. He presented to his GP on 8 June 2011 with suspected urinary tract infection and was…
50y · Male·multi-organ failure due to pancreatitis and generalised varicella zoster virus i…
Charles Andrew Tabb, a 50-year-old prisoner with non-Hodgkin's lymphoma (diagnosed 13 years prior, treated with bone marrow transplants), died of multi-organ failure from pancreatitis and disseminated varicella zoster vi…
84y · Male·respiratory failure due to hospital-acquired pneumonia
Ronald Geoffrey Weeks, aged 84, died of respiratory failure due to hospital-acquired pneumonia following a hip fracture sustained in a fall at James Nash House psychiatric facility. He was serving an 8-year sentence for …
54y · Male·Respiratory failure due to aspiration pneumonia and acute autonomic and sensory …
Norman Ebanezer John Smith, aged 54, a long-term psychiatric patient under guardianship, died of respiratory failure due to aspiration pneumonia and acute neuropathy complicating severe hyponatraemia (sodium 109). He pre…
Unknown·Ms Fensom: influenza A (H1N1 2009, pandemic swine flu) with myocarditis causing …
Two deaths from H1N1 influenza in 2009. Ms Fensom (41) died from myocarditis complicating swine flu after inadequate recognition and management of persistent hypotension at Millicent Hospital. Her condition required esca…
34y · Female·hypoxic ischaemic encephalopathy due to anaphylactic shock due to antibiotic all…
A 34-year-old woman died from anaphylactic shock to Ceclor, a cephalosporin antibiotic prescribed for otitis externa. Her medical records clearly documented allergies to cephalosporins (Ibilex) and sulphur-based antibiot…
28y · Female·Multi-organ failure due to Clostridium perfringens myonecrosis complicating lipo…
Lauren Edgar, a 28-year-old woman, died of multi-organ failure from Clostridium perfringens myonecrosis (gas gangrene) following a liposuction procedure performed by Dr K. on 5 March 2008. She presented to hospital on 8 …
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 …
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…
39y · Male·pneumococcal meningitis with severe cerebral oedema due to pneumococcal mastoidi…
Jamie Stuart Bais, a 39-year-old man with acute otitis media and sinusitis, was admitted to Flinders Medical Centre for what was thought to be a straightforward ENT infection. Over 15 days, he developed pneumococcal meni…
84y · Female·septicaemia secondary to septic arthritis of the left knee
An 84-year-old woman presented to hospital with acute left knee swelling and pain. Initial assessment at Ashford Hospital ED reasonably excluded septic arthritis based on borderline blood tests and absence of fever, thou…
45y · Male·sepsis with infective endocarditis, right lobar pneumonia (with abscess formatio…
A 45-year-old man with severe disability (wheelchair-bound following burn injury), borderline personality disorder, and chronic medical conditions including ischaemic heart disease, hypertension, diabetes, and recent pne…
79y · Female·Sepsis due to urinary tract infection with Group B streptococci
A 79-year-old nursing home resident died of sepsis from urinary tract infection with Group B streptococci after waiting 6 hours in the Emergency Department without being seen by a doctor. She arrived at 8pm with normal v…
64y · Male·hospital-acquired pneumonia on a background of end-stage cryptogenic liver cirrh…
Peter Langford, aged 64, died of hospital-acquired pneumonia complicated by end-stage cryptogenic liver cirrhosis after a 43-day admission to Flinders Medical Centre. He presented with severe cellulitis requiring amputat…
10y · Male·sepsis (fusobacterium necrophorum) complicating right otitis media
Jarrad Roberts, a 10-year-old with learning disabilities and likely ADHD, died from sepsis due to untreated right otitis media caused by Fusobacterium necrophorum. He had been acutely ill for 5-7 days before finally seei…
17y · Male·refractory status epilepticus caused by either a viral infection, an underlying …
Ricky Cox, a 17-year-old Aboriginal youth in juvenile detention, died from refractory status epilepticus triggered by either viral infection or underlying epilepsy. On 2 February 2006, he became febrile and unwell at Cav…
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