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VICcommunity2012-08-16

Finding into death of Carmel Vitalleri

53y · Female·Complications of post-natal encephalitis including epilepsy; sudden unexpected n…

A 53-year-old woman with post-natal encephalitis, deaf, blind, and intellectually disabled, who had been in residential care since age 6, died suddenly at night in her community residential unit. She was found on the flo…

neurologygeneral practicecarbamazepine
VIChospital2012-08-15

Finding into death of Gregory Dean Coutts

46y · Male·Septic shock complicating pneumonia in the setting of spastic quadriplegia and e…

Gregory Dean Coutts, a 46-year-old man with intellectual disability, spastic quadriplegia, and epilepsy living in a Department of Human Services group home, died from septic shock complicating pneumonia. On 3 October 201…

general practiceemergency medicine
VIChospital2012-07-03

Finding into death of Pruseyus Lily Sharp

0y · Female·Hypoxic brain injury secondary to pneumonia and pulmonary haemorrhage

Pruseyus Sharp was a 39-day-old neonate who died from hypoxic brain injury secondary to pneumonia and pulmonary haemorrhage caused by picornavirus infection. She presented with severe apnoea and minimal preceding symptom…

paediatricsneonatologydelay
VICaged care2012-06-25

Finding into death of Broughton Hall Inquest

Salmonella infection contributing to deaths in gastroenteritis outbreak

Four elderly residents of Broughton Hall aged care facility died during a 2007 Salmonella gastroenteritis outbreak. A three-day delay in notifying the Department of Health (April 7 to April 10) prevented early identifica…

infectious diseasesgeriatric medicinediagnosticcommunication
VIChospital2012-06-04

Finding into death of Michael Cleary

79y · Male·Septicaemia — Septic Arthritis Right Knee

Michael Cleary, 79, died from septicaemia and septic arthritis of the right knee following a fall from a truck on 18 March 2011. He initially declined medical treatment despite significant health deterioration. After a M…

intensive careemergency medicine
VIChospital2012-02-22

Finding into death of Ellen Mary OConnor

90y · Female·Renal failure secondary to gentamicin therapy for urinary tract infection (sepsi…

Ellen O'Connor, a 90-year-old woman with renal artery stenosis and coronary artery disease, died from acute renal failure following gentamicin administration for Pseudomonas aeruginosa urinary tract infection. A single 2…

orthopaedic surgeryplastic and reconstructive surgerymedicationdiagnosticgentamicin
VIChospital2012-02-06

Finding into death of David Crisfield

43y · Male·Septic shock from streptococcus pneumoniae sepsis arising from streptococcus pne…

David Crisfield, a 43-year-old immunosuppressed patient with COPD on Crohn's disease therapy, died from streptococcus pneumoniae septic shock. He presented to a rural hospital ED on 6 November 2007 with respiratory compr…

emergency medicinegeneral practicediagnosticcommunicationsalbutamol
VIChospital2012-01-25

Finding into death of Claire Kathleen Fogarty

45y · Female·Pneumonia complicating cerebral palsy and epilepsy

Claire Fogarty was a 45-year-old woman with severe cerebral palsy, epilepsy and intellectual disability who was profoundly disabled and resided in a supported care facility. She developed a cough and wheeze on 24 Decembe…

general practiceneurologyamoxicillin
VIChospital2011-11-29

Finding into death of Ralph James McCracken

65y · Male·complications of end stage chronic obstructive pulmonary disease

Ralph James McCracken, aged 65, died from complications of end-stage COPD following a complex hospital admission. He presented with acute limb ischaemia requiring femoral embolectomy, subsequently developed compartment s…

vascular surgerycolorectal surgeryantibiotics
VIChospital2011-09-19

Finding into death of Stephen Johnson

47y · Male·Multiple organ failure due to Aeromonas Sobria sepsis in a man with cirrhosis

Stephen Johnson, a 47-year-old teacher, died from sepsis caused by Aeromonas Sobria bacteria acquired through a cut hand exposure to contaminated farm water. He presented to hospital with non-specific symptoms and elevat…

emergency medicineinfectious diseasesdelay
VIChospital2011-09-05

Finding into death of Sheryl Yvonne Martell

49y · Female·aspiration pneumonia complicating cerebral palsy

Ms Sheryl Yvonne Martell, a 49-year-old woman with cerebral palsy and severe intellectual disability residing in a group home, died from aspiration pneumonia. She was admitted to hospital on 21 June 2010 after vomiting a…

general practiceemergency medicinebenzylpenicillin
VIChospital2011-07-13

Finding into death of Nuray Yurekturk

39y · Female·Sepsis and renal failure secondary to a perinephric abscess

A 39-year-old woman with quadriplegia, cerebral palsy, and epilepsy residing in supported accommodation developed a perinephric abscess detected when staff noticed a raised area on her lower back. She presented to hospit…

urologyemergency medicine
VIChospital2011-07-13

Finding into death of Mary Welsh

44y · Female·pneumonia complicating epilepsy in a woman with microcephaly

Mary Welsh, aged 44, with intellectual impairment, microcephaly, severe kyphoscoliosis and epilepsy was admitted with upper respiratory symptoms and treated for presumed pneumonia. She developed an allergic reaction to R…

emergency medicineneurologyrulide
VIChospital2011-07-08

Finding into death of Jan Szustak

84y · Male·Aspiration pneumonia associated with vascular and Alzheimer dementia

An 84-year-old man with vascular and Alzheimer dementia died from aspiration pneumonia at Latrobe Regional Hospital. He had been under an Inpatient Treatment Order, but this critical status was not communicated to the re…

geriatric medicinerespiratory medicinecommunicationsystem
VICaged care2010-09-08

Finding into death of Nina Solyk

87y · Female·Sepsis

An 87-year-old woman with dementia, heart failure, and cerebrovascular disease died of sepsis on an aged psychiatry unit. She was admitted under mental health legislation following behavioural deterioration. On 11 March,…

geriatric medicineinfectious diseases
VIChospital2010-06-01

Finding into death of Eileen Frances Wilson

52y · Female·Aspiration pneumonia complicating end-stage dementia

Eileen Wilson, a 52-year-old woman with Down's syndrome and Alzheimer's dementia, died from aspiration pneumonia after 27 days of hospitalisation. She was transferred to hospital in early July 2009 after DHS staff noted …

geriatric medicineinfectious diseasescefriaxone
VIChospital2010-03-24

Finding into death of Adam Michael Francis Fabre

19y · Male·acute bacterial meningitis with secondary cerebritis (meningococcus)

Adam Fabre, a 19-year-old with fever, severe headache, neck pain, muscle pain (10/10), vomiting, tachycardia and blanching rash, presented to Casey Hospital ED at 3:45am on 14 July 2006. Despite expressing clear concern …

emergency medicineinfectious diseasesdiagnosticcommunicationparacetamol/codeine
VIChospital2010-03-22

Finding into death of Magdalena Schauer

36y · Female·Acute brain injury due to intracerebral haemorrhage secondary to sepsis

A 36-year-old woman with intravenous heroin use history presented with depressed consciousness and purpuric rash. Paramedics appropriately administered empiric antibiotics for suspected meningococcal sepsis. Hospital inv…

emergency medicineintensive careheroin
VIChospital2010-03-15

Finding into death of Deborah Margaret Ricklefs

29y · Female·Invasive aspergillosis

A 29-year-old registered nurse with systemic lupus erythematosus (SLE) died from invasive aspergillosis. Dr G. prescribed lamotrigine 100 mg daily (double the recommended initial dose of 50 mg) on first consultation with…

addiction medicinegeneral practicemedicationdiagnosticlamotrigine
VIChospital2008-03-20

Finding into death of Julie Stephens

54y · Female·sepsis

Ms Julie Stephens, aged 54, was admitted to Frankston Hospital on 5 December 2008 with a chest infection and multiple comorbidities including cardiac failure, respiratory failure, and obesity. She deteriorated with septi…

intensive carerespiratory medicinemedicationsystemmorphine
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