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QLDhospital2024-12-16

Inquest into the death of Shane Anthony May

61y · Male·Multiorgan failure, due to, or as a consequence of metastatic lung cancer (suspi…

Shane Anthony May, a 61-year-old prisoner, died of multiorgan failure secondary to metastatic lung cancer after 44 days in custody. He presented with COVID-19 symptoms on reception, then developed progressive respiratory…

emergency medicinerespiratory medicineamlodipine
VIChospital2024-12-09

Finding into death of Robert Djurovich

58y · Male·Aspiration pneumonia

Robert Djurovich, a 58-year-old man with Down syndrome, dementia, epilepsy, and gastro-oesophageal reflux disease, died from aspiration pneumonia on 1 January 2023 after admission to Maroondah Hospital on 1 November 2022…

respiratory medicineinfectious diseases
VIChospital2024-12-09

Finding into death of Donald Charleson

68y · Male·pneumonia in the setting of metastatic malignancy of unknown primary, likely bow…

Donald Charleson, a 68-year-old NDIS participant with epilepsy residing in specialist disability accommodation, was admitted to Monash Medical Centre on 19 January 2023 with pneumonia, vomiting, and chest pain. He had re…

respiratory medicineoncology
VIChospital2024-12-09

Finding into death of James Van Wyk

65y · Male·Metastatic lung cancer

James Van Wyk, a 65-year-old NDIS participant living in Specialist Disability Accommodation, died from metastatic lung cancer. He presented with breathing difficulty and chest pain on 16 July 2023, was diagnosed with ple…

oncologypalliative care
VIChospital2024-12-09

Finding into death of Peter A Keating

37y · Male·Pseudomonas pneumonia

Peter Keating, a 37-year-old man with cerebral palsy and intellectual disability living in supported accommodation, died from pseudomonas pneumonia following a month-long hospitalisation. He was admitted in November 2022…

respiratory medicineinfectious diseasesantibiotics
NThospital2024-12-06

Inquest into the death of Baby G

0y · Male·Trisomy 21 with complex cardiac anomalies complicated by pulmonary hypertension,…

Baby G, born with Trisomy 21 (Down Syndrome) and complex cardiac anomalies, died at Royal Darwin Hospital on 18 March 2023 aged 6 months. The coroner found that non-invasive prenatal testing (NIPT) should have been offer…

neonatologypaediatricsdiagnosticsystem
VIChospital2024-12-05

Finding into death of Kim Elizabeth Taylor

54y · Female·Pneumonia - chest sepsis

Kim Elizabeth Taylor, a 54-year-old NDIS participant with quadriplegia and tracheostomy, died from pneumonia and chest sepsis at Austin Hospital. She had experienced recurrent ventilator-associated pneumonia, bronchiecta…

respiratory medicinepalliative care
VIChospital2024-12-02

Finding into death of Giulia Nesci

30y · Female·Aspiration pneumonia in the setting of small bowel obstruction and Rett Syndrome

Ms Giulia Nesci, aged 30 with Rett Syndrome, died from aspiration pneumonia complicated by small bowel obstruction after admission to Monash Medical Centre on 7 July 2023. She had recently transitioned from living with h…

general medicinerespiratory medicine
VIChospital2024-11-27

Finding into death of Darryle Rodney Gilbert

65y · Male·Aspiration pneumonia with antecedent cause of secondary progressive multiple scl…

Darryle Rodney Gilbert, a 65-year-old man with secondary progressive multiple sclerosis, died from aspiration pneumonia on 30 December 2022 at Austin Hospital. He had been admitted on 19 December 2022 with aspirated pneu…

respiratory medicineinfectious diseases
VIChospital2024-11-27

Finding into death of Michael Ruawai Robin

59y · Male·Respiratory failure with paraplegia as a significant contributing factor

Michael Ruawai Robin, a 59-year-old man with paraplegia and incomplete quadriplegia (C4-C6), died from respiratory failure at Werribee Mercy Hospital on 22 June 2023. He presented with a rash and urinary tract infection …

emergency medicinecardiology
VIChospital2024-11-15

Finding into death of Kerry Patricia Johnston

63y · Female·Aspiration event in the setting of cerebral palsy, intellectual disability, and …

Kerry Patricia Johnston, a 63-year-old woman with cerebral palsy, intellectual disability, and bowel cancer, died from aspiration on 26 December 2022 at Mildura Base Hospital. She had been discharged four days earlier fo…

general medicinerespiratory medicine
VIChospital2024-11-13

Finding into death of Louise Spencer

58y · Female·Alzheimer's Dementia on a background of Trisomy 21

Louise Spencer, a 58-year-old woman with Down Syndrome and Alzheimer's dementia, died of natural causes at Austin Hospital following admission for rapid deterioration post-COVID-19 infection. She was transferred to the P…

palliative carerespiratory medicine
VIChospital2024-11-11

Finding into death of Luke McCormack

48y · Male·Aspiration pneumonia

Luke McCormack, a 48-year-old NDIS participant with epilepsy living in supported accommodation, died from aspiration pneumonia. He had a respiratory illness with cough and runny nose on 6 January 2023, was prescribed ant…

emergency medicineintensive careantibiotics
QLDhospital2024-11-08

Non-inquest findings into the death of SD

61y · Male·Lymphoma (CD30 positive T-cell lymphoproliferative disorder), medically managed

A 61-year-old man died from CD30-positive T-cell lymphoproliferative disorder (PTCL) after being incorrectly diagnosed and treated for Hodgkin lymphoma. Critical diagnostic information—a negative PAX5 immunohistochemistr…

haematologypathologydiagnosticcommunicationprednisolone
VIChospital2024-11-08

Finding into death of Deren Yaan

28y · Male·Aspiration pneumonia with antecedent cause of cerebral palsy

Deren Yaan, a 28-year-old man with cerebral palsy receiving NDIS-funded supported independent living in specialist disability accommodation, died from aspiration pneumonia at Northern Hospital. Aspiration pneumonia is a …

respiratory medicinepalliative care
NSWhome2024-11-04

Inquest into the death of MR

4y · Female·hypoxic brain injuries

A 4-month-old girl died from hypoxic brain injury following an unexplained, unnatural restriction of oxygen on 13 May 2017. She was found unresponsive at home and despite resuscitation, suffered irreversible brain damage…

paediatricspathologydiagnosticdelay
VIChospital2024-10-30

Finding into death of Domenico Joseph Palma

58y · Male·Complications of diffuse large B-cell lymphoma

Domenico Joseph Palma, a 58-year-old man with intellectual disability residing in supported accommodation, died from complications of diffuse large B-cell lymphoma following hospital admission with dyspnoea, fatigue and …

oncologyrespiratory medicine
VIChospital2024-10-29

Finding into death of Kelly Frith

48y · Female·Aspiration pneumonitis in the setting of central nervous system vasculitis

Kelly Frith, a 48-year-old NDIS participant with acquired brain injury and acute haemorrhagic leukoencephalitis, died from aspiration pneumonitis complicated by CNS vasculitis. She presented with nasal congestion and cou…

general practiceemergency medicine
VIChospital2024-10-24

Finding into death of Marina Norman

46y · Female·Aspiration pneumonia in a woman with multiple sclerosis

Marina Norman, a 46-year-old woman with progressive multiple sclerosis since 2010, died from aspiration pneumonia at Dandenong Hospital on 11 April 2023. She was bedbound and non-verbal at the time of admission with decr…

neurologyinfectious diseases
NSW2024-10-23

Inquest into the death of Alen Imbrisak

47y · Male·Sudden cardiac death in association with COVID-19 infection

Alen Imbrisak, a 47-year-old man incarcerated at Junee Correctional Centre, died on 26 January 2022 from sudden cardiac death in association with COVID-19 infection. He tested positive on 25 January 2022 during a centre-…

respiratory medicineemergency medicinecommunicationsystemmethadone
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