Coronial
NSW2026-05-20

Inquest into the death of Mr Edward Curic aka Grahovac

49y · Male·Diabetes Mellitus and the Consequences thereof

…rolled Type 2 diabetes for 30 years with severe complications including bilateral amputations, Fournier's gangrene, and diabetic ketoacidosis. Recently diagnosed with metastatic pancreatic cancer with six-month life expe…

correctional healthgeneral medicinemethadone
NSWhospital2019-10-25

Inquest into the death of Peter SMITH

67y · Male·Gas gangrene with antecedent cause of Clostridium septicum septicaemia

…management and initial investigation suggesting rhabdomyolysis, he rapidly deteriorated and died from gas gangrene caused by Clostridium septicum. While the coroner found no material deficiencies in clinical care, the un…

emergency medicinegeneral practicesystemmorphine
SAcommunity2012-11-15

Coroner's Finding: Edgar Lauren Michelle

28y · Female·Multi-organ failure due to Clostridium perfringens myonecrosis complicating lipo…

…ren Edgar, a 28-year-old woman, died of multi-organ failure from Clostridium perfringens myonecrosis (gas gangrene) following a liposuction procedure performed by Dr K. on 5 March 2008. She presented to hospital on 8 Mar…

plastic and reconstructive surgerygeneral practicediagnosticcommunicationpanadol/paracetamol
SAhospital2006-12-14

Coroner's Finding: PETTER Elemer

79y · Male·myocardial infarction

A 79-year-old man with significant comorbidities (ischaemic heart disease, diabetes, peripheral vascular disease) was admitted to hospital with anorexia and weight loss. He developed acute confusion and delirium, initial…

cardiologypsychiatrycommunicationhaloperidol
WAhospital2005-03-03

Inquest into the Death of Giovanni Bertoncini

72y · Male·acute gangrene of colon with probable perforation along with bowel obstruction a…

Giovanni Bertoncini, a 72-year-old man with diabetes and cardiac disease, presented to Sir Charles Gairdner Hospital on Christmas Day 2002 with acute abdominal pain and vomiting. Over two days, his condition deteriorated…

emergency medicinegeneral medicinediagnosticdelayparacetamol
WAhospital2019-08-02

Inquest into the Death of Timothy James CHANDLER

52y · Male·multiple organ failure and pulmonary thromboemboli complicating generalised seps…

A 52-year-old man with longstanding refusal of medical care presented with severe cellulitis, sepsis, and previously undiagnosed heart failure secondary to sleep apnoea. He lacked capacity to consent to treatment due to …

emergency medicinegeneral medicine
SA2011-12-22

Coroner's Finding: FRY Lindsay Allan

61y · Male·ischaemic heart disease with significant atherosclerotic narrowing of all three …

Lindsay Allan Fry, a 61-year-old prisoner with poorly controlled Type II diabetes, died of ischaemic heart disease while in custody at Yatala Labour Prison. Autopsy revealed marked coronary artery atherosclerosis, myocar…

cardiologyendocrinologymetformin
NThospital2006-10-02

Inquest into the death of Freddie Peterson

30y · Male·diffuse alveolar damage, a complication of bacterial endocarditis

Freddie Peterson, a 30-year-old Aboriginal man from Papunya, died in custody from bacterial endocarditis complicated by diffuse alveolar damage. He was imprisoned for nine months and presented to the prison medical centr…

cardiologyinfectious diseasesranatidine
SAhospital2006-01-25

Coroner's Finding: RAPHAEL Glenn Howard

74y · Male·cardiac and renal failure complicating treatment of infected ischaemic toes resu…

Glenn Howard Raphael, 74-year-old admitted for infected ischaemic toe secondary to diabetes mellitus. During his 17-day hospital stay, he developed acute renal failure leading to cardiac arrest and death. Critical failur…

vascular surgerygeneral medicinemedicationcommunicationgentamicin
NTcommunity2006-05-04

Inquest into the death of Cynthia Diane Ching

29y · Female·multiple organ failure following persistent sepsis occurring as a complication o…

Cynthia Diane Ching, a 29-year-old Canadian visitor, sustained severe burns (60% of body) on 15 April 2004 when aviation fuel from a makeshift lantern was spilled onto her by one of two helicopter pilots at Kings Creek S…

plastic and reconstructive surgeryintensive careproceduralsystemmorphine
QLDhospital2013-10-28

Loveday, Marcia Joy

74y · Female·Cardio-renal failure due to gangrene of calculous gallbladder, with significant …

An elderly woman with a documented penicillin allergy, wearing a MedicAlert bracelet, presented to emergency with respiratory distress and chest pain. She was administered intravenous Ampicillin without allergy verificat…

emergency medicineintensive carediagnosticmedicationampicillin
SAhospital2001-05-04

Coroner's Finding: ROACH Dawn Ruth

45y · Female·Multi-organ failure due to septicaemia and peritonitis due to faecal leakage fro…

A 45-year-old woman died from multi-organ failure following failure of a loop colostomy created for management of an anastomotic leak after bowel cancer surgery. The initial anastomotic leak (1.5 cm) was contained and re…

colorectal surgerygeneral surgeryproceduralcommunication
QLDhospital2011-06-24

(C) a 15 month old child

1y · Male·Complication of burns and trauma to the mesenteric artery

A 15-month-old child died from complications of severe scalding burns (55% of body) sustained when left unsupervised in a bath of hot water (65°C) for 10-15 minutes, combined with traumatic mesenteric artery tears of unk…

paediatricsplastic and reconstructive surgerycommunicationsystemrisperidone

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