Coronial

57 results for bacterial sepsis

TASmental health2017-11-17

Coroner's Finding: Smith, Molly Jessie

75y · Female·pyelonephritis and pneumonia

…tinuously for 53 years. During her final week at Roy Fagan Centre, Dr R. failed to recognise progressive bacterial infection presenting as fever, tachycardia, tachypnoea and other vital sign abnormalities. He misdiagnos…

psychiatrygeneral practicediagnosticdelaycefalexin
WAhospital2023-02-22

Inquest into the Death of Aishwarya Aswath CHAVITTUPARA

7y · Female·multiorgan failure due to fulminant sepsis (Streptococcus pyogenes)

7-year-old Aishwarya Aswath Chavittupara died from multiorgan failure due to fulminant sepsis (Streptococcus pyogenes) after approximately 90 minutes in Perth Children's Hospital emergency department.…

emergency medicinepaediatricsdiagnosticcommunication
SAhospital2003-03-04

Coroner's Finding: VASSALLO Virginia

59y · Female·multiple cerebral infarction due to infective endocarditis

…emic toxicity combined with her known valvular disease history—should have prompted hospital admission and sepsis workup with blood cultures and broad-spectrum antibiotics. The patient re-presented the next day more unwe…

emergency medicinecardiologydiagnosticdelayparacetamol/codeine
NSWhospital2019-12-19

Inquest into the death of Lesley ARNDELL

61y · Female·multi organ failure due to abdominal sepsis

Lesley Arndell, aged 61, died from multi-organ failure due to abdominal sepsis after undergoing a Whipple's procedure for pancreatic cancer. Key clinical lessons include: (1) patients w…

general surgeryintensive caremedicationcommunicationpiperacillin/tazobactam
VIChospital2014-12-04

Finding into death of Leroy William Scott

1y · Male·Staphylococcus aureus septicaemia of unknown origin

… better communication between pathology and clinical teams, and escalation based on objective markers of bacterial infection despite clinically reassuring features.

paediatricsemergency medicinediagnosticcommunicationparacetamol
WAhospital2026-03-26

Inquest into the Death of Sandipan DHAR

1y · Male·Complications of acute lymphoblastic leukaemia

Sandipan Dhar, 21 months old, died from undiagnosed acute lymphoblastic leukaemia (ALL) complicated by sepsis and pneumonia on 24 March 2024. After three weeks of intermittent fever, he attended his GP three times an…

emergency medicinegeneral practicediagnosticcommunicationparacetamol
VIChospital2017-05-25

Finding into death of Finding Baby Ahmed

0y · Male·Urosepsis and renal failure in a child with acute on chronic pyelonephritis seco…

…ys. He was assessed by multiple GPs and presented to the ED at Werribee Mercy Hospital with clear signs of sepsis and decompensation. The ED diagnosis of bronchiolitis was inappropriate; examination findings (normal ches…

emergency medicinegeneral practicediagnosticcommunicationparacetamol
VICaged care2012-06-25

Finding into death of Broughton Hall Inquest

Salmonella infection contributing to deaths in gastroenteritis outbreak

… delay in notifying the Department of Health (April 7 to April 10) prevented early identification of the bacterial pathogen, which was eventually identified only on April 13. For Mr MD, who died on April 16, there was a…

infectious diseasesgeriatric medicinediagnosticcommunication
VIChospital2017-07-18

Finding into death of Lynsie Maree Everett

36y · Female·Complications of pneumonia and pulmonary emphysema with bullae formation; respir…

…osis, and difficult intubation history presented to a rural hospital with community-acquired pneumonia and sepsis. She had multiple 'red flag' indicators of severity including hypotension, tachypnoea, and hypoxia. Critic…

emergency medicineinfectious diseasesdiagnosticsystemsalbutamol
WAhospital2016-05-20

Inquest into the death of Sebastian Keith PARMAN

6y · Male·pneumonia complicating influenza A (H1N1) infection with secondary streptococcal…

…plicating influenza H1N1 with secondary group A streptococcal infection causing scarlet fever, empyema and sepsis. Multiple clinical failures contributed: an informal unregistered consultation with Dr C. on 14 September …

emergency medicinepaediatricsdiagnosticcommunicationpenicillin
WAhospital2023-12-13

Inquest into the Death of Ashleigh Rebecca HUNTER

26y · Female·meningococcal infection (Neisseria meningitidis W strain) causing septicaemia

…pain warranting Code 2; (3) severe pain coupled with tachycardia, hypothermia and early collapse warranted sepsis consideration despite absent fever and rash; (4) drug use disclosure may have created cognitive bias, with…

emergency medicineinfectious diseasesdiagnosticsystemMDMA
NSWchildcare2026-05-06

Inquest into the death of Arianna Maragol

1y · Female·Rapidly developing Streptococcus pneumoniae infection leading to invasive pneumo…

… 2018. Key clinical lessons emerged: (1) Pneumococcal disease can progress with devastating speed to fatal sepsis with minimal or no inflammatory signs on autopsy; (2) Early clinical recognition is extremely difficult as…

paediatricsemergency medicinesystemcommunicationibuprofen
WAhospital2017-03-21

Inquest into the Death of Masaly MOSBY

0y · Female·acute necrotising pneumonia

…rmally assessed before her mother left the hospital. The infant died that night from rapidly progressive bacterial pneumonia. Key clinical lessons: in neonates, fever with tachycardia warrants admission for sepsis scree…

emergency medicinepaediatricsdiagnosticsystemparacetamol
VIChospital2023-08-14

Finding into death of Md Fakrul Alam Sozon

33y · Male·Haemoperitoneum secondary to lacerated spleen as a result of peritoneal ascitic …

A 33-year-old man with severe alcoholic liver disease (Child-Pugh C) and poor prognosis died from haemoperitoneum following splenic laceration during a diagnostic ascitic tap procedure. Two junior doctors (HMOs/Basic Phy…

gastroenterologyintensive careproceduraldiagnostic
NSWhospital2012-11-01

Michelle Mcilquham Findings

28y · Female·acute streptococcus pneumonia meningitis with left-sided otitis media as anteced…

Michelle McIlquham, 28 years old, died from undiagnosed acute bacterial meningitis (streptococcus pneumonia) that developed from a middle ear infection. She presented to Bankst…

emergency medicinediagnosticcommunication
NSWhospital2026-03-19

Inquest into the death of Eve Brown

42y · Female·hypovolaemic shock due to an acute ruptured subcapsular splenic haematoma in the…

…ar-old Aboriginal woman, died of hypovolaemic shock from a ruptured splenic haematoma in the context of urosepsis at a regional hospital. She presented with UTI symptoms and was admitted to Lightning Ridge Multi-Purpose …

emergency medicinegeneral practicediagnosticcommunicationceftriaxone
VIChospital2025-02-20

Finding into death of Mia Rose Iskander

0y · Female·Complications of ascending uterine infection (Klebsiella pneumoniae) in the sett…

Mia Rose Iskander died at 8 hours of age from ascending uterine infection (Klebsiella pneumoniae) with chorioamnionitis following maternal premature pre-labour rupture of membranes (PPROM) at 32 weeks. Maternal managemen…

obstetricsneonatologydiagnosticdelayamoxicillin

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