Coronial

180 results for sepsis risk

VIChospital2018-01-18

Finding into death of Kathryn Maree Jelbart

59y · Female·Multiorgan failure and polymicrobial sepsis secondary to severe bone marrow fail…

A 59-year-old woman with renal transplant died from multiorgan failure and sepsis secondary to severe bone marrow failure caused by azathioprine toxicity. She had an undiagnosed genetic po…

nephrologytransplant medicinediagnosticsystemazathioprine
NThospital2009-11-24

Inquest into the death of Maureen Caroline Thomson

58y · Female·acute peritonitis, which led to the development of acute septicaemia following a…

A 58-year-old woman died from acute peritonitis and sepsis following surgery for duodenal diverticulum. Initial elective surgery on 4 March 2008 was technically succ…

general surgerycolorectal surgeryenoxaparin
WAhospital2024-08-28

Inquest into the Death of Matthew John PICKIN

56y · Male·Complications, including sepsis, of left leg infection (operated), in a man with…

Matthew John Pickin, a 56-year-old prisoner with metastatic lung adenocarcinoma, died from sepsis complicating a left leg infection. His lung cancer was appropriately investigated following haemoptysis in…

respiratory medicineoncologysystemdexamethasone
SAhospital2012-07-31

Coroner's Finding: KISON Trinity Isabel

0y · Female·respiratory failure due to congenital pneumonia with hyaline membrane disease ca…

…e to appreciate vaginal swab significance, failure to administer maternal prophylaxis, failure to recognise risk factors in neonatal management, reliance on falsely reassuring early FBE, and failure to escalate clinical …

obstetricsneonatologydiagnosticcommunicationbenzylpenicillin
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…

…syndrome (a rare life-limiting genetic condition) died from multiorgan failure due to clinically suspected sepsis following hospitalisation for acute illness with vomiting, lethargy and poor oral intake. He was admitted …

intensive carepaediatricsmedicationceftriaxone
SAhospital2000-07-21

Coroner's Finding: HOWIESON Julie Ann

43y · Female·sepsis secondary to extensive acute peritonitis following perforation of small b…

43-year-old woman died from sepsis and necrotising fasciitis following small bowel perforation during laparoscopic tubal ligation. She was at…

gynaecologyanaesthesiadiagnosticdelay
TAShospital2025-11-28

Coroner's Finding: Clark, Dennis

83y · Male·Sepsis due to staphylococcus aureus bacteraemia following infection of a left an…

An 83-year-old man with heart and kidney failure died from sepsis caused by MSSA bacteraemia following infection at a peripheral intravenous catheter (PIVC) insertion site.…

emergency medicinesurgeryproceduralsystem
TAShospital2025-01-20

Coroner's Finding: Lowe, Wayne Anthony

58y · Male·multiorgan failure due to sepsis resulting from repeatedly fractured left humeru…

Wayne Anthony Lowe, aged 58, died of multiorgan failure due to sepsis following repeated humeral fractures sustained in falls. He was admitted with a right proximal humeral fra…

orthopaedic surgerygeneral medicinesystemdelay
QLDhospital2016-02-22

Robertson, Elsie - Non-inquest findings

0y · Female·Hypoxic ischaemic encephalopathy due to intra-partum event and E. coli sepsis, s…

… weeks. She died 9 hours 43 minutes after birth from combined hypoxic-ischaemic encephalopathy and E. coli sepsis secondary to chorioamnionitis. Critical clinical lessons include: (1) confusion over twin nomenclature del…

obstetricsneonatologycommunicationsystemmagnesium sulphate
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
SAhospital2018-09-07

Coroner's Finding: MCBRIDE Peter James

86y · Male·multi-organ failure due to sepsis on a background of sacral pressure ulcer

An 86-year-old man died from multi-organ failure due to sepsis from a stage 4 sacral pressure ulcer after 61 days in a regional hospital. Critical failures included dela…

general practicegeriatric medicinediagnosticproceduralolanzapine
VIChospital2017-11-20

Finding into death of Graeme Harold Griffiths

65y · Male·Severe neutropenic sepsis and multi-organ failure secondary to severe mucositis …

A 65-year-old man with stage 3 rectal cancer died from severe neutropenic sepsis and multi-organ failure secondary to probable dihydropyrimidine dehydrogenase (DPD) deficiency when treate…

oncologyradiation oncologydelaycapecitabine
WAhospital2018-06-14

Inquest into the Death of Anne RZEPCZYNSKI

59y · Female·complications of intra-abdominal sepsis, including multi-organ failure and bowel…

59-year-old woman died from intra-abdominal sepsis, multi-organ failure and bowel perforation following median hepatectomy for cholangiocarcinoma. Key clinic…

general surgeryintensive carediagnosticdelayantibiotics
SAhospital2010-12-30

Coroner's Finding: D'AGOSTINO Antonia

59y · Female·sepsis due to faecal peritonitis due to perforation of sigmoid colon complicatin…

A 59-year-old woman died from sepsis due to faecal peritonitis following a bowel perforation during laparoscopic oophorectomy for a benign ovar…

gynaecologygeneral surgerydiagnosticdelaypethidine
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
NThospital2018-09-21

Inquest into the death of Henry George Wilson aka Albert Wilson

77y · Male·sepsis due to retroperitoneal collection after biliary stent insertion on a back…

A 77-year-old Aboriginal man died from sepsis following a percutaneous transhepatic cholangiography (PTC) procedure that perforated his duodenum. Critic…

general surgeryradiologydiagnosticcommunicationpiperacillin/tazobactam
WAhospital2026-04-01

Inquest into the Death of David John HATCHER

60y · Male·Pulmonary tuberculosis in a man with chronic obstructive pulmonary disease, with…

…agnosed with active TB and received a four-drug treatment regime. Readmitted in June 2024 with multi-organ sepsis and acute kidney injury, he required intensive care. Despite comprehensive care from multiple specialist t…

respiratory medicineinfectious diseasesproceduralsystem
VIChospital2025-12-08

Finding into death of Graeme William Kenny

61y · Male·Right lower lobe pneumonia

…rgling breathing, clinical deterioration was not recognised until 22 December when he presented to ED with sepsis. The coroner found no want of clinical management or care by any involved healthcare providers. For clinic…

emergency medicinegeneral practicediagnosticdelayibuprofen
WAhospital2021-11-29

Inquest into the Death of Miss T (Name Subject to Suppression Order)

16y · Female·acute abdominal obstruction secondary to adhesions associated with severe pelvic…

…(5) lack of a short-stay observation unit at the hospital. The coroner emphasised heightened vigilance for sepsis in young Aboriginal people presenting with abdominal pain, and the need for improved access to sexual heal…

emergency medicinegeneral practicediagnosticsystemcannabis
VIChospital2014-11-19

Finding into death of Noah Philip James Sheekey

3y · Male·Escherichia Coli sepsis in a low birth weight infant

Noah Sheekey, a small-for-gestational-age neonate, died of E. coli sepsis at 3 days old, one day after discharge from hospital. Although his initial condition was reassuring, he wa…

neonatologypaediatricscommunicationsystemcefalexin

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