28 results for “blood cultures”
30y · Female·tricuspid valve bacterial endocarditis
…ED on 20 August 2018 with chest tightness, fever, and tachycardia (heart rate 150). The ED did not perform blood cultures or investigate for pulmonary embolism, discharging her with a diagnosis of viral illness. Four da…
8y · Male·bacterial meningitis that had not been diagnosed by a number of clinicians who h…
… signs (lethargy, fever, headache, persistent vomiting, pallor), and failure to perform lumbar puncture or blood cultures. Paracetamol appeared to improve symptoms, falsely reassuring clinicians. The coroner found the d…
36y · Female·Acute brain injury due to intracerebral haemorrhage secondary to sepsis
…biotics for suspected meningococcal sepsis. Hospital investigation revealed intracerebral haemorrhages and blood cultures grew Staphylococcus aureus sepsis. She underwent neurosurgery for haemorrhage evacuation but had …
2y · Male·Group A Streptococcal toxic shock syndrome which probably originated in the thro…
…. At Rockhampton Base Hospital, critical diagnostic and management failures occurred: no septic work-up or blood cultures despite lumbar puncture for suspected meningitis; refusal of adequate analgesia (morphine) based …
44y · Male·Sepsis due to Streptococcus pyogenes (Group A Streptococcus) septicaemia complic…
… that without validated clinical tools to distinguish viral from bacterial co-infection, and with negative blood cultures at presentation, the discharge decision was reasonable at the time. Key lesson: recognise that vi…
59y · Female·multiple cerebral infarction due to infective endocarditis
…ned with her known valvular disease history—should have prompted hospital admission and sepsis workup with blood cultures and broad-spectrum antibiotics. The patient re-presented the next day more unwell and was eventua…
56y · Male·sepsis
…-operative infection developed with clear clinical signs: elevated CRP (205-284 mg/L), positive bacterial cultures (Staphylococcus aureus, Klebsiella pneumoniae), fever, wound drainage, and systemic symptoms from 16 Janu…
21y · Female·Multiple organ failure due to undefined sepsis (toxic shock syndrome)
…araburdoo Hospital was appropriate, but critical clinical deterioration occurred 10pm on 14 March when her blood pressure declined significantly. Dr M. was not notified of this critical observation. When contacted at 2:…
76y · Female·sepsis as a result of myocarditis and tricuspid valve endocarditis (infective en…
…g the first admission, though expert evidence indicated this diagnosis was very difficult without positive blood cultures or typical clinical signs; and (2) critical communication failures—the discharge summary was not …
1y · Male·acute heat stress (circumstances undetermined)
Michael Campbell, aged 20 months, died on 18 April 2008 from acute heat stress. He was placed in his bedroom cot by his mother after returning home from grandparents' house. He was found unconscious and extremely hot app…
72y · Male·sepsis of undetermined source (pneumonia or spinal epidural abscess)
…r, elevated CRP, low albumin, low sodium, elevated ALP) in context of focal pain warrant septic screen and blood cultures; discharge requires documented clinical review with vital signs and case summary; 95% survival wa…
39y · Female·neurological disorder of unknown cause and right axillary abscess
…naerobes). Her care pathway included: early community recognition and GP consultation; hospital admission; blood cultures and appropriate antibiotics; surgical consultation (drainage not feasible due to her anatomy); in…
26y · Female·sepsis
… antibiotics were eventually commenced, critical failures included: absent documentation, failure to take cultures until late, absence of IV fluids despite ordering them, poor handover to night staff, inadequate ward obs…
1y · Male·Septicaemia due to Streptococcal (Beta Haemolytic Group A) infection
…ng signs of toxicity and persistent tachycardia throughout his 4-hour ED stay, Troy was discharged without blood tests to investigate possible bacterial infection. He deteriorated overnight and died from Group A Strepto…
65y · Male·staphylococcal sepsis (secondary to Staphylococcus aureus infection seeding rect…
A 65-year-old man presented with quad bike accident injuries and had markedly elevated inflammatory markers (CRP 329–556, WCC 12.3–18) during his first hospital admission. These were suggestive of developing infection, p…
54y · Male·Unascertained
…e investigation and support at St Vincent's Hospital, the source of infection was never identified despite blood cultures, imaging, and microbiology. He deteriorated with coagulopathy, DIC, acute kidney injury, and live…
19y · Female·Meningococcal septicaemia
…cate timely diagnosis. However, once in hospital, she received appropriate and prompt management including blood cultures, antibiotics (ceftriaxone at 1.30pm), intensive supportive care with vasopressors, ICU admission,…
44y · Male·pneumonia (with multiple left-sided rib fractures as the antecedent cause)
…rate to cardiac arrest. Expert opinion suggested that appropriate aggressive resuscitation, fluid loading, blood cultures, broad-spectrum antibiotics, and ICU involvement within the first 60 minutes might have prevented…
68y · Female·Presumed septic shock with multiple organ failure secondary to acute suppurative…
A 68-year-old woman died from septic shock and multi-organ failure secondary to acute suppurative appendicitis complicated by recent peritoneal adhesion division. Admitted on 31 March 2005 with acute abdominal pain, she …
88y · Female·Sepsis complicated by multiple organ failure in a woman with comorbidities in th…
An 88-year-old woman died from sepsis with multiple organ failure following shoulder surgery. She developed an undiagnosed urinary tract infection after placement of an indwelling catheter. Critical failures included: in…
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