Coronial
SAhospital2019-06-12

Coroner's Finding: NGUYEN An Hoang Le

4y · Male·acute lymphoblastic leukaemia

… acute lymphoblastic leukaemia with CNS involvement. He presented with a 4-day history of abdominal pain, lethargy, fever, and respiratory symptoms at Royal Darwin Hospital where leukaemia was diagnosed. He developed lif…

haematologyintensive carechemotherapy
NSWhospital2016-12-21

Inquest into the death Kyran DAY

0y · Male·Complications of hypoxic ischaemic encephalopathy secondary to recurrent episode…

Kyran Day, a 6-month-old boy, presented to Shoalhaven District Memorial Hospital with vomiting and lethargy on 19 October 2013. He was initially assessed and diagnosed with gastroenteritis based on recent rotaviru…

paediatricsemergency medicinediagnosticcommunication
WA2005-03

Inquest into the Death of Allan Chapman

75y · Male·Metastatic Lung Carcinoma

…isoner, died of metastatic lung carcinoma on 4 April 2004 at Murdoch Community Hospice. He presented with lethargy and dysphonia in February 2004, leading to prompt chest imaging that revealed extensive lung cancer with …

palliative carerespiratory medicinesystem
TAShospital2023-04-03

Coroner's Finding: RS - de-identified

1y · Female·infarction and volvulus of the small intestine due to adhesion from prior nephre…

…th-old girl with history of Wilms tumour presented to Launceston General Hospital with vomiting, pain and lethargy. A Children's Early Warning Tool score of 6 triggered mandatory protocols including senior doctor review …

emergency medicinepaediatricsdiagnosticsystem
NSWPodcast2017-12-04

Inquest into the death of Nicholas Banfield

23y · Male·carbon monoxide poisoning

… risk due to confined spaces and lack of ventilation; CO causes insidious symptoms (dizziness, confusion, lethargy) that impair judgment before unconsciousness; and regulatory frameworks must apply to leisure environment…

occupational and environmental healthforensic medicinesystem
TAShospital2017-02-22

Coroner's Finding: Free, Maxwell John

64y · Male·Multiple organ failure due to paracetamol toxicity

…mol 500mg four times daily for over 12 years for pain management. He presented with nonspecific symptoms (lethargy, falls, acute deterioration) that were misattributed to his known dementia and psychogenic polydipsia. By…

general practicegeriatric medicinediagnosticparacetamol
NTcommunity2023

Inquest into the death of Toddler R

3y · Male·Disseminated Staphylococcus aureus infection

… to a remote clinic on 10 April with fever and dizziness, then returned on 13 April with irregular fever, lethargy and respiratory symptoms but was not reviewed immediately. On 14 April with obvious signs of severe illne…

general practicepaediatricsdiagnosticdelayparacetamol
VIChospital2020-06-29

Finding into death of Baby AA

0y · Female·Disseminated Herpes Simplex Virus (HSV 1)

…from disseminated HSV-1 infection acquired perinatally. She presented with sepsis-like symptoms including lethargy, poor feeding, fever and respiratory signs. Clinical management was appropriate and timely, with empirica…

neonatologypaediatricsdiagnosticcommunicationbenzyl penicillin
VICaged care2021-05-24

Finding into death of Julie-Anne Marie Kettle

56y · Female·Bronchopneumonia in the setting of supratherapeutic lithium levels

…tres/day) for fluid retention. Despite GP reviews showing clinical signs concerning for lithium toxicity (lethargy, tremors, nausea, poor appetite), her lithium level was not rechecked between December 2017 and early Mar…

general practicepsychiatrydiagnosticdelaylithium
NThospital2011-10-14

Inquest into the death of Kerisha Slim

8y · Female·Chronic myocarditis subsequent to chemotherapy for sialoblastoma

…te from hospital, she deteriorated acutely and presented to Katherine District Hospital with vomiting and lethargy. Her condition was initially misdiagnosed as post-chemotherapy vomiting, then septic shock—both reasonabl…

oncologypaediatricsdiagnosticepirubicin
NSWhospital2018-12-03

Inquest into the death of Troy Almond

1y · Male·Septicaemia due to Streptococcal (Beta Haemolytic Group A) infection

Troy Almond, a 17-month-old boy, presented to the Emergency Department with fever, lethargy, vomiting, and tachycardia. Vital signs showed heart rate 173 bpm (red zone) and fever 38.9°C. Dr T. diag…

emergency medicinepaediatricsdiagnosticsystemparacetamol
WAhospital2023-11-17

Inquest into the Death of Child MD (Name Subject to a Suppression Order)

2y · Male·multiorgan failure in a boy with clinically suspected sepsis and Cockayne syndro…

…gan failure due to clinically suspected sepsis following hospitalisation for acute illness with vomiting, lethargy and poor oral intake. He was admitted to Perth Children's Hospital paediatric ICU after initial presentat…

intensive carepaediatricsmedicationceftriaxone
NSWprison2023-03-01

Inquest into the death of William Haines

37y · Male·Pulmonary thromboembolus due to left leg deep vein thrombosis

…mboembolism due to deep vein thrombosis while incarcerated. He presented to hospital on his birthday with lethargy, shortness of breath, and tachycardia. Initial assessment focused on suspected infective endocarditis, wh…

emergency medicinecardiologydiagnosticsystemenoxaparin
NSWhospital2022-10-14

Inquest into the death of Malouvailoa Tafau

20y · Male·cardiac arrest due to complications of infective endocarditis against a backgrou…

…when patients fail to attend; and recognise that endocarditis presents with non-specific symptoms (fever, lethargy, weight loss) in a patient with pre-existing cardiac risk (heart murmur).

cardiologyinfectious diseasesdiagnosticcommunicationflucloxacillin
VIChome2019-08-01

Finding into death of Caleb Harley Pearson

17y · Male·Diabetic ketoacidosis

…r a throat infection by his GP on 25 May 2015. Over the following two days he deteriorated with vomiting, lethargy and inability to move. Paramedics attended on 27 May evening and found him with tachycardia (120 bpm), ta…

emergency medicinepaediatricsdiagnosticcommunicationpholcodine
VIChospital2024-08-19

Finding into death of Matilda Ruby Armstrong

1y · Female·viral respiratory tract infection (Parainfluenza and Respiratory Syncytial Virus…

…g recent COVID-19 infection. She presented to ED twice in two days with febrile illness, poor intake, and lethargy. At first presentation, clinical assessment was appropriate and she improved with supportive care, then w…

emergency medicinepaediatricsdelaysystemparacetamol
VIChospital2016-12-12

Finding into death of Hugo Edward Byard Gardiner

3y · Male·Streptococcus pyogenes group A pneumonia

…er respiratory tract infection. Both doctors observed concerning clinical signs (tachycardia, tachypnoea, lethargy) but did not escalate to hospital or specialist paediatric review. Hugo deteriorated overnight and presen…

general practicepaediatricsdiagnosticcommunication
NSW2022-07-22

Inquest into the death of Mootijah Douglas Andrew Shillingsworth

44y · Male·Complications of a Left Temporal Lobe Abscess

…Despite multiple nursing observations of hearing difficulties and presentations with ear pain, fever, and lethargy, no comprehensive medical review occurred. Mental health symptoms masked the underlying physical illness,…

correctional healthgeneral medicinediagnosticsystemciprofloxacin eardrops
NSWhospital2025-08-14

Inquest into the death of Wilfred Whippy Williams

45y · Male·Diabetic ketoacidosis with multi-organ failure caused by pneumonia

…boriginal man with poorly managed diabetes and schizophrenia presented to Cowra District Hospital ED with lethargy, cough and fever. Despite being triaged as category 2 (urgent) with abnormal vital signs including tachyc…

emergency medicineendocrinologycommunicationdiagnosticmetformin
WAcommunity2004-10-08

Inquest into the Death of Morgan

31y · Male·Lymphocytic Myocarditis in association with Acute Pericarditis (viral origin, ae…

…). He presented to Carnarvon Regional Hospital on 20 December with chest and shoulder pain, weakness, and lethargy following previous pneumonia in October. Initial investigations suggested infection but lacked specific d…

general medicineemergency medicinecommunicationsystemceftriaxone

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