19 results for “febrile illness”
80y · Female·Complications of chronic lymphocytic lymphoma in the setting of multiple medical…
…mmodation her entire life with no known relatives. Following progressive functional decline and recurrent febrile neutropenic episodes despite multiple treatments, a multidisciplinary team appropriately decided on palli…
3y · Male·Hypoxic ischaemic encephalopathy complicating hypoglycaemia with shock and statu…
A 3-year-old boy with septo-optic dysplasia and panhypopituitarism died from hypoxic ischaemic encephalopathy secondary to adrenal crisis and hypoglycaemic shock. He was in state care and had an emergency management plan…
1y · Male·acute meningitis from Streptococcus pneumoniae, associated with diffuse brain sw…
…ed locum (Dr B.) misdiagnosing bacterial meningitis as viral gastroenteritis; failure to recognise severe illness despite tachycardia, tachypnoea, lethargy, and inability to tolerate oral fluids; inappropriate discharge…
5y · Male·Septic shock due to Influenza A infection and bacterial co-infection with Staphy…
…ing, was assessed by a junior doctor supervised by a senior paediatrician, and discharged home with viral illness presumed. Critically, repeat vital signs were not obtained before discharge despite tachycardia (149 bpm)…
3y · Female·Streptococcus pyogenes septicaemia
A three-year-old girl with Down syndrome died from Group A Streptococcus septicaemia after a 10-day illness. She presented four times to hospital (ED and rapid review clinic) over three days with fever, rash, and …
1y · Unknown·unascertained
…ly 4 hours, and was discharged at 10:15pm after assessment by the Senior Medical Officer found mild viral illness signs that had largely resolved. Mother called back at 1:57am reporting fever of 38.8°C but was reportedl…
59y · Male·Aspiration pneumonia and non-ST elevation myocardial infarction in a man with in…
…tion pneumonia and non-ST elevation myocardial infarction complicated by COVID-19. He presented to the ED febrile with elevated troponin and was admitted under cardiology. Despite MET calls for deteriorating oxygen satu…
37y · Male·Pseudomonas pneumonia
…rom pseudomonas pneumonia following a month-long hospitalisation. He was admitted in November 2022 with a febrile illness related to PEG tube issues and received antibiotic therapy for multiple infections. Despite treat…
14y · Female·Neisseria meningitidis infection (meningococcal septicaemia)
…ntable. Critical clinical lessons: (1) always maintain meningococcal disease as differential diagnosis in febrile children until excluded; (2) initiate empirical antibiotics immediately when serious bacterial infection …
47y · Male·Progressive multifocal leukoencephalopathy
…(PML) caused by JC virus. He was in custody when admitted to St Vincent's Hospital on 11 August 2015 with febrile illness and neurological symptoms. His CD4 count was critically low at 30 cells/mm³, indicating advanced …
66y · Male·inanition and probable respiratory tract infection complicating Alzheimer's deme…
…ffered falls with suspected hip injury but imaging was not pursued due to resistance. By late June he was febrile, hypoxic and had reduced oral intake. A palliative approach was agreed with his wife. Care and treatment …
51y · Female·Sigmoid volvulus in the setting of COVID-19 infection
…mmodation facility where she lived with intellectual disability and cerebral palsy. On admission, she was febrile, hypoxic, and COVID-19 positive with sigmoid volvulus identified on abdominal imaging. The family had ele…
1y · Female·Rapidly developing Streptococcus pneumoniae infection leading to invasive pneumo…
…ly clinical recognition is extremely difficult as presentation may appear mild and resembles common viral illnesses; (3) Effective supervision of sleeping children is critical—Arianna was not physically checked for appr…
17y · Male·refractory status epilepticus caused by either a viral infection, an underlying …
…tus epilepticus triggered by either viral infection or underlying epilepsy. On 2 February 2006, he became febrile and unwell at Cavan Training Centre. His ED assessment on 3 February found 'no disease' and he was discha…
1y · Male·Septicaemia due to Streptococcal (Beta Haemolytic Group A) infection
…and tachycardia. Vital signs showed heart rate 173 bpm (red zone) and fever 38.9°C. Dr T. diagnosed viral illness (possibly Fifth Disease) based on delayed rash appearance. Despite showing signs of toxicity and persiste…
2y · Male·Pneumonia
…luding investigations and admission for observation, with lower thresholds for Aboriginal children; (2) A febrile 2-month-old presenting with fever (38°C), elevated respiratory rate (80-100), and rash should have trigge…
3y · Female·massive air embolism
Ruby Chen, 3 years old, died from massive air embolism during aeromedical transfer from Blackwater to Rockhampton Hospital. The fatal sequence occurred when a paramedic re-spiked a partially-used IV saline bag (containin…
1y · Female·viral respiratory tract infection (Parainfluenza and Respiratory Syncytial Virus…
…ptococcus pyogenes sepsis following recent COVID-19 infection. She presented to ED twice in two days with febrile illness, poor intake, and lethargy. At first presentation, clinical assessment was appropriate and she im…
2y · Male·Myocarditis secondary to Kawasaki Disease
…nting with all five clinical diagnostic criteria for KD, he was discharged home with a diagnosis of viral illness. The attending registrar considered KD but rejected it, citing atypical features that are actually charac…
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