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VIChospital2022

Finding into death of Ms S

63y · Female·Sepsis complicating cellulitis following skin cancer excision and skin graft pro…

A 63-year-old woman died from sepsis complicating cellulitis following elective skin cancer excision and skin graft performed in a general practitioner's clinic. The lesion was a squamous cell carcinoma (invasive Bowen's…

general practiceplastic and reconstructive surgeryantibiotics
VIChospital2021-12-08

Finding into death of David John McDermott

70y · Male·Congestive cardiac failure in a man with ischaemic and hypertensive heart diseas…

David McDermott, a 70-year-old man with intellectual disability in supported residential care, died from congestive cardiac failure secondary to ischaemic and hypertensive heart disease. He was admitted to hospital with …

cardiologygeriatric medicineolanzapine
VIChospital2021-12-06

Finding into death of Ingeburg Hildegard Muller

85y · Female·Staphylococcus bacteremia complicating multiple injuries sustained in a motor ve…

An 85-year-old woman sustained multiple serious injuries (bilateral rib and pelvic fractures, thoracic spine fractures) in a motor vehicle collision on 20 June 2018. She was treated with ICU admission, induced coma, and …

emergency medicineintensive caresystemantibiotics
SA2021-11-25

Coroner's Finding: Hancott, Duncan John

56y · Male·urosepsis

Duncan John Hancott, aged 56, died in Mount Gambier Prison from urosepsis secondary to urinary tract infection caused by E. coli. He had significant comorbidities including hepatic cirrhosis, portal hypertension, and his…

infectious diseaseshepatologydiagnosticamitriptyline
VIChospital2021-08-26

Finding into death of 'Child A'

15y · Unknown·acute respiratory distress syndrome resulting from multi-organ failure as a cons…

Child A, aged 15, died from acute respiratory distress syndrome resulting from multi-organ failure due to disseminated tuberculosis. He presented to hospital with very advanced post-primary pulmonary tuberculosis requiri…

respiratory medicinepaediatricsdelay
WAhome2021-08-26

Inquest into the Death of Baby E (Name Subject to Suppression Order)

0y · Male·Complications of VATER syndrome and sacrococcygeal teratoma

Baby E was a 7-month-old neonate with VATER syndrome and sacrococcygeal teratoma who died from complications of these conditions. He was born prematurely at 30 weeks, requiring intubation and ventilation, and remained in…

neonatologynephrology
TAShospital2021-08-23

Coroner's Finding: Cooper, Melanie Sarah 2021 TASCD 475

51y · Female·embolic infarcts complicating infective endocarditis

Melanie Sarah Cooper, aged 51, died from embolic infarcts complicating infective endocarditis secondary to chronic intravenous opioid use. She presented with severe physical deterioration over three days including swolle…

intensive careinfectious diseasesdelaymorphine
WAhospital2021-08-06

Inquest into the Death of Alex Carl MILLS

76y · Male·Sepsis, with osteomyelitis and infective endocarditis

Alex Mills, a 76-year-old sentenced prisoner with complex medical history including atrial fibrillation, valvular heart disease, and rheumatoid arthritis, died from sepsis caused by osteomyelitis and infective endocardit…

infectious diseasescardiologydiagnosticdelayprednisolone
QLDhospital2021-07-26

Saunders, Cary James

57y · Male·Intracerebral haemorrhage due to ruptured mycotic aneurysm due to infective endo…

Cary James Saunders, aged 57, a prisoner with pre-existing mitral valve prolapse and aortic regurgitation, died from intracerebral haemorrhage secondary to infective endocarditis caused by Streptococcus mitis. He present…

cardiologyinfectious diseasesampicillin
VIChospital2021-07-26

Finding into death of G H

61y · Female·Pneumonia in a woman with multiple co-morbidities

A 61-year-old woman with significant comorbidities including congenital hydrocephalus, stroke, obstructive sleep apnoea, and previous pneumonia with respiratory arrest (2017) died of pneumonia in hospital. She lived in a…

respiratory medicineemergency medicineolanzapine
SAhospital2021-06-30

Coroner's Finding: MOKETARINJA Anthea Ryder

42y · Female·multiple organ failure due to sepsis on a background of pneumonia, spontaneous b…

Anthea Ryder Moketarinja, a 42-year-old Aboriginal woman with advanced cirrhosis, died from multiple organ failure due to sepsis, pneumonia, spontaneous bacterial peritonitis, and end-stage liver disease. She was admitte…

general medicinepsychiatryantibiotics
NSWhospital2021-06-24

Inquest into the death of William BERGER

74y · Male·Acute exacerbation of chronic airways disease, with carcinoma of prostate being …

William Berger, a 74-year-old man serving a life sentence for murder, died from acute exacerbation of chronic obstructive pulmonary disease (COPD) with metastatic prostate cancer as a significant contributing condition. …

respiratory medicineemergency medicinesalbutamol
VIChospital2021-05-31

Finding into death of Darin Lyndon Wheeldon

44y · Male·Acute myeloid leukemia

A 44-year-old man with acute myeloid leukemia died in St Augustine's secure ward at St Vincent's Hospital on 18 February 2020. He had been under treatment for refractory AML since June 2019, with disease progression desp…

haematologyoncology
VIChospital2021-03-26

Finding into death of Resel Juerchott

59y · Female·Aspiration pneumonia in the setting of Down's syndrome

A 59-year-old woman with Down's syndrome, advanced Alzheimer's dementia, dysphagia, epilepsy and blindness died from aspiration pneumonia. She was a resident of a group home requiring 24-hour care. She presented to hospi…

geriatric medicineinfectious diseases
SAhospital2020-12-18

Coroner's Finding: WALSH Patrick Lawrence

86y · Male·combined effects of acute myeloid leukaemia, acute renal failure and staphylococ…

Patrick Lawrence Walsh, aged 86, died in custody at Royal Adelaide Hospital from combined acute myeloid leukaemia, acute renal failure, and staphylococcal pneumonia. He had a significant medical history including ischaem…

haematologyinfectious diseasesdiagnosticdelay
WAprison2020-12-03

Inquest into the Death of Macker Joseph DINAH

57y · Male·atherosclerotic heart disease in a man with diabetes mellitus

Macker Joseph Dinah, a 57-year-old Aboriginal man, died suddenly in his prison cell from atherosclerotic heart disease complicated by diabetes mellitus. He had severe coronary artery disease affecting three vessels, prev…

cardiologygeneral medicinecannabis
VICaged care2020-11-06

Finding into death of VA

73y · Female·Combined effects of congestive cardiac failure, coronary artery atherosclerosis …

VA, a 73-year-old woman with mental health conditions and cardiac disease, died from congestive cardiac failure, coronary atherosclerosis, and cardiomegaly while an inpatient in a psychiatric unit. She had recently been …

psychiatryintensive caremetaraminol
QLDcommunity2020-09-07

C - Non-inquest findings

6y · Male·Sepsis due to melioidosis

A six-year-old previously healthy boy died from sepsis due to melioidosis after multiple presentations to a remote hospital over five days (5–10 January 2017) with fever, vomiting, diarrhoea, and headache. Initial diagno…

paediatricsinfectious diseasesdiagnosticcommunicationparacetamol
WAhospital2020-09-04

Inquest into the Death of Malakai Matiu Ward PARAONE

0y · Male·Complications in association with fulminant sepsis in an infant (Streptococcus p…

Malakai Paraone, a seven-month-old infant, died from fulminant Streptococcus pyogenes sepsis and septic shock. Over three days, he was seen at three hospitals and a general practice clinic but sepsis was not identified. …

emergency medicineintensive carediagnosticcommunicationparacetamol
NThospital2020-07-17

Inquest into the death of Ishmael Nawirridj

51y · Male·Multiple organ failure due to Influenza A pneumonia, in the context of chronic k…

Ishmael Nalaiyir Nangarid, a 51-year-old Aboriginal man with complex medical history including myasthenia gravis, chronic kidney disease, COPD, and ischaemic heart disease, died from multiple organ failure due to Influen…

intensive carerespiratory medicinemedicationmeropenem
1891020

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