180 results
61y · Male·urosepsis in the setting of chronic suprapubic catheterisation in a man with con…
Wayne Daniel Holland, aged 61, died from urosepsis related to chronic suprapubic catheterisation. He had significant disability from congenital rubella and lived in specialist disability accommodation. He presented to ho…
61y · Male·aspiration pneumonia in a man with Down syndrome and early onset dementia
Stephen Feltscheer, a 61-year-old man with Down syndrome and early onset dementia living in Specialist Disability Accommodation, died from aspiration pneumonia. He was admitted to hospital on 25 July 2024 with a two-day …
70y · Male·organising diffuse alveolar damage in the setting of hypertensive heart disease,…
A 70-year-old man died in prison custody from organising diffuse alveolar damage in the setting of pre-existing hypertensive heart disease, right ventricular hypertrophy, coronary artery atherosclerosis, and COPD. He pre…
78y · Female·Complications of prolonged immobility and malnutrition in a woman with retroperi…
A 78-year-old woman with schizophrenia, depression, and undiagnosed retroperitoneal lymphoma died from septic shock complicating severe pressure ulcers, malnutrition, and dehydration. She had been immobile on a couch for…
74y · Male·Sepsis complicating pyelonephritis and pseudo large intestinal obstruction (pall…
A 74-year-old man with intellectual disability, Parkinson's disease, and dysphagia died from sepsis complicating pyelonephritis and pseudo-obstruction after prolonged hospitalisation. He was admitted in February 2024 wit…
47y · Female·Aspiration pneumonia in the setting of type 1 diabetes mellitus, previous cerebr…
A 47-year-old NDIS participant with a history of stroke, diabetes, and complex comorbidities died from aspiration pneumonia at Austin Hospital. She had been living in specialist disability accommodation with support serv…
75y · Female·Infective complications of a left hand injury with diabetic ketoacidosis
A 75-year-old woman died from infective complications of a left hand wound sustained in a fall from a ladder in November 2023, complicated by undiagnosed diabetic ketoacidosis. Despite family encouragement to seek medica…
65y · Male·Aspiration pneumonia complicating urosepsis in setting of nephrolithiasis and ce…
Shane Michael Kelly, a 65-year-old man with cerebral palsy living in specialist disability accommodation, died from aspiration pneumonia complicating urosepsis secondary to nephrolithiasis. He was admitted to hospital on…
65y · Male·Adenocarcinoma with unknown primary
John Conway McKenzie, a 65-year-old prisoner with gall bladder cancer, died from adenocarcinoma with unknown primary on 30 May 2025 at St Vincent's Hospital Melbourne. He was admitted on 11 May 2025 with sepsis, at which…
66y · Female·Pneumonia (with Trisomy 21 and dementia as contributing conditions)
Voula Hristeas, a 66-year-old woman with Down syndrome, dementia, and intellectual disability, died of pneumonia on 31 March 2024 at her supported disability accommodation home. She had been admitted to hospital on 21 Fe…
41y · Female·Cardiomegaly
Jessica Katgert, aged 41, died in custody at Dame Phyllis Frost Centre from cardiomegaly. She had a history of MSSA infective endocarditis treated in 2021 with echocardiographic changes including dilated left ventricle a…
58y · Male·Complications of community-acquired pneumonia, in a man with chronic lung diseas…
Adrian Phillips, a 58-year-old man with intellectual disability and chronic lung disease (emphysema, bronchopulmonary aspergillosis, asthma), died from community-acquired pneumonia caused by MRSA and Rhinovirus. He prese…
62y · Male·Septic arthritis complicating left knee joint prosthesis in the setting of statu…
A 62-year-old man with autism spectrum disorder, cerebral palsy, and epilepsy died from septic arthritis of a prosthetic left knee joint. He presented with fever, knee pain, and delirium in November 2022, three months po…
46y · Male·Aspiration pneumonia complicating epistaxis in the setting of prolonged nasal pr…
Hau Bui Nguyen, a 46-year-old man with severe acquired brain injury, dysphagia, and recurrent aspiration pneumonia, died from aspiration pneumonia complicating epistaxis following prolonged nasal prong oxygen therapy. Du…
86y · Female·Pulmonary thromboembolism in the setting of deep leg vein thrombosis, secondary …
Barbara Deal, 86, died from pulmonary embolism secondary to deep vein thrombosis 17 days after lumbar spinal fusion surgery. Critical failures included: no repeat VTE risk assessments despite policy requirements; inconsi…
44y · Female·COVID-19
Ms Anne-Maree Tammy Carr, a 44-year-old woman with intellectual disability, cerebral palsy, diabetes, and high cholesterol living in Specialist Disability Accommodation, died from COVID-19 pneumonia on 6 October 2024, fo…
40y · Male·Aspiration pneumonia
Alexander Cameron, a 40-year-old man with complex neurodevelopmental, neurological and psychiatric disorders including epilepsy, autism, and previous neuroleptic malignant syndrome (NMS), died from aspiration pneumonia f…
65y · Male·Multiple organ failure of unknown origin
Kevin Parkhill, a 65-year-old NDIS participant with type 2 diabetes, chronic kidney disease, chronic liver disease and congestive cardiac failure, developed a Stage IV heel wound while in supported accommodation. Despite…
50y · Male·Sepsis of unknown organism in respiratory
Mark Ruth, a 50-year-old NDIS participant with cerebral palsy, intellectual disability, chronic dysphagia, and obstructive sleep apnoea, died from sepsis of unknown respiratory organism. He had experienced declining heal…
65y · Male·Middle cerebral artery stroke in a man with multiple medical co-morbidities
Winfried Medenbach, a 65-year-old man with tuberous sclerosis, severe intellectual disability, epilepsy, and history of bowel complications, died from a middle cerebral artery stroke. He had been admitted to hospital in …
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