Finding into death of Pennelope Shandelle Wilding

48y · Female·Aspiration pneumonia in the setting of percutaneous endoscopic gastrotomy (PEG) feeding in a woman with cerebral palsy and dysphagia

A 48-year-old woman with cerebral palsy, dysphagia, and a PEG tube died from aspiration pneumonia. She presented with low oxygen levels and abnormal breathing, and developed complications including vomiting, PEG site infection with purulent discharge, and abdominal distension. Initially treated with oral antibiotics, then upgraded to intravenous antibiotics, but her condition deteriorated despite treatment. After discussion with family, palliative care was initiated. The coroner found the care and medical treatment provided was appropriate and the death was due to natural causes. This case highlights the inherent risks of aspiration in patients with dysphagia and PEG tubes, even with appropriate medical management.