Coronial

31 results for chemotherapy administration

SAhospital2018-06-01

Coroner's Finding: MCRAE Christopher, PINXTEREN Johanna, HIGHAM Bronte, BAIRNSFATHER Carol

Unknown·acute myeloid leukaemia

Four patients with acute myeloid leukaemia died after receiving chemotherapy consolidation therapy that was administered once daily instead of the intended twice daily schedule due…

haematologyoncologymedicationsystemcytarabine
VIChospital2022-10-18

Finding into death of Heather Jean Lucas

80y · Female·Anaphylaxis complicating chemotherapy for the treatment of metastatic fallopian …

…ear-old woman with metastatic fallopian tube cancer, died from anaphylaxis during her third carboplatin chemotherapy infusion. She had experienced a documented Grade 2 hypersensitivity reaction to carboplatin during her …

oncologyemergency medicinemedicationcommunicationcarboplatin
VIChospital2021-01-28

Finding into death of MrsL

52y · Female·Neutropenic sepsis leading to multi-organ failure due to capecitabine toxicity

…i-organ failure secondary to severe capecitabine toxicity on 31 October 2018. She commenced neoadjuvant chemotherapy with capecitabine on 17 October 2018 and developed severe mucositis, diarrhoea, and signs of toxicity b…

oncologyradiation oncologydiagnosticdelaycapecitabine
NSWhospital2017-05-09

Inquest into the death of Bruce Burrell

63y · Male·metastatic small cell lung carcinoma with ischaemic heart disease as a significa…

… presented with constitutional symptoms and was diagnosed with stage IV disease. He received palliative chemotherapy, which caused expected complications including neutropaenia requiring antibiotics. As his condition det…

oncologypalliative carechemotherapy
QLDhospital2025-05-26

Findings into the death of Trevor Charles Stone

57y · Male·Metastatic lung adenocarcinoma (stage IVA non-small cell lung cancer)

…tage IVA non-small cell lung cancer in October 2019, he received appropriate oncological care including chemotherapy and immunotherapy (Nivolumab) at Princess Alexandra Hospital. Concerns were raised about delayed access…

oncologypalliative carecarboplatin
NThospital2017-01-13

Inquest into the death of Ray Gibson

41y · Male·respiratory arrest secondary to advanced metastatic breast cancer

…rison custody. He had been diagnosed with breast cancer in 2013 while imprisoned and received surgical, chemotherapy and endocrine treatment. His health gradually deteriorated over the following years with multiple hospi…

oncologypalliative carechemotherapy
SAhospital2018-06-01

Coroner's Finding: MCRAE Christopher, PINXTEREN Johanna, HIGHAM Bronte, BAIRNSFATHER Carol - Ruling

Unknown·Acute myeloid leukaemia (AML)

Four patients with acute myeloid leukaemia (AML) died following administration of chemotherapy consolidation therapy that was delivered according to a protocol containing a critical…

haematologypharmacologymedicationsystemcytarabine
VIChospital2017-09-20

Finding into death of Jason Leslie Spradbury

43y · Male·Metastatic colo-rectal carcinoma

…iagnosis of metastatic colorectal cancer. He underwent partial bowel resection and received fortnightly chemotherapy from April to November 2016 before ceasing active treatment due to rapid cancer progression. His condit…

oncologypalliative carechemotherapy agents
VIChospitalNew2026-08-25

Finding into death of Ashley John Bryant

47y · Male·Metastatic adenocarcinoma of the gastroesophageal junction

…ter presenting with weight loss, abdominal distension, and dysphagia. He received first-line palliative chemotherapy and immunotherapy, but CT imaging in July 2024 showed progressive disease. He was switched to second-li…

oncologypalliative care
NThospital2011-10-14

Inquest into the death of Kerisha Slim

8y · Female·Chronic myocarditis subsequent to chemotherapy for sialoblastoma

An 8-year-old Aboriginal girl died from chronic myocarditis following chemotherapy for sialoblastoma (salivary gland cancer). She had completed chemotherapy and surgery with good respons…

oncologypaediatricsdiagnosticepirubicin
SA2020-10-12

Coroner's Finding: KEIRL Dennis Frank

63y · Male·metastatic carcinoma of the lung (small cell neuroendocrine carcinoma with poorl…

…hrombosis in October 2018, leading to one month of treatment at Royal Adelaide Hospital with palliative chemotherapy before return to prison. The coroner found Mr Keirl received appropriate medical care during custody, i…

oncologygeneral medicinewarfarin
WAhospital2014-07-22

Inquest into the Death of Adrian Bernard Williams

60y · Male·pneumonia in a man with underlying advanced metastatic cancer and chronic airway…

… the prison infirmary. During his final hospitalisation at Royal Perth Hospital, he received palliative chemotherapy, non-invasive ventilation, antibiotics, and steroids. The coroner found the quality of supervision, tre…

palliative carerespiratory medicinechemotherapy
NSWhospital2025-02-03

Inquest into the death of Stephen Paul Bourke

67y · Male·Liver abscess and complications thereof on the background of pancreatic adenocar…

Stephen Paul Bourke, aged 67, died in custody at Prince of Wales Hospital from a liver abscess complicated by pancreatic adenocarcinoma. He had multiple comorbidities including coronary artery disease, diabetes, and prio…

palliative careoncologychemotherapy
QLDhospital2026-07-02

Inquest into the death of Jeffrey Stewart Olsen

64y · Male·Colonic adenocarcinoma and its treatment

Jeffrey Olsen, 64, died from acute capecitabine toxicity during adjuvant chemotherapy for Stage 3b colorectal cancer. Within three days of commencing treatment in September 2020, severe sid…

oncologygeneral surgerycapecitabine
SAaged care2018-04-26

Coroner's Finding: MATTHEWS Barry John

69y · Male·metastatic squamous cell carcinoma of the lung with chronic obstructive lung dis…

…e lung disease at an aged care facility while subject to a section 32 detention order. He had undergone chemotherapy with initial good response, but developed brain metastases and terminal disease progression. Clinical m…

respiratory medicineoncologyamoxicillin
SAhospital2015-07-17

Coroner's Finding: SPIERO Marcel Edward

53y · Male·Sepsis from infected ascites (E. coli) in a man with cirrhosis of the liver, hep…

A 53-year-old male prisoner died of sepsis from E. coli-infected ascites complicated by cirrhosis, hepatocellular carcinoma, and diffuse B-cell lymphoma. He was admitted to hospital in septic shock with acute abdominal p…

infectious diseaseshepatologymorphine
QLDhospital2010-03-05

Hockey, Barry John

58y · Male·adenocarcinoma of the right lung

…tually confirmed lung cancer. He received appropriate multidisciplinary care including oncology review, chemotherapy, and palliative care. Independent medical review confirmed adequate medical treatment throughout his in…

respiratory medicineoncologyoxycodone
VICcommunity2018-05-10

Finding into death of Mettaloka Malinda Halwala

58y · Male·Complications of chemotherapy for the treatment of Hodgkin lymphoma

Mettaloka Halwala, 58, died from complications of bleomycin toxicity during Hodgkin lymphoma chemotherapy. A PET scan on 11 November 2015 showed widespread lung uptake suggestive of bleomycin pneumonitis, but …

haematologyradiation oncologycommunicationsystemabvd chemotherapy
NT2026-03-19

Inquest into the death of Bradley Murdoch

66y · Male·metastatic adenocarcinoma (palliated) from an unidentified primary tumour

…age 4 metastatic adenocarcinoma. He declined radiotherapy due to requiring transfer to Darwin, accepted chemotherapy and was compassionately managed in custody until transfer to palliative care in late June 2025. The cor…

oncologypalliative carecarboplatin
VIChospital2017-11-20

Finding into death of Graeme Harold Griffiths

65y · Male·Severe neutropenic sepsis and multi-organ failure secondary to severe mucositis …

…e secondary to probable dihydropyrimidine dehydrogenase (DPD) deficiency when treated with capecitabine chemotherapy. He developed severe mucositis and systemic toxicity within days of commencing treatment. While the cor…

oncologyradiation oncologydelaycapecitabine

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