Inquest into the death of Lee Shaun Wurramarrba

15y · Male·bronchopneumonia secondary to chronic chest dysmorphology caused by congenital brain disease

Lee Shaun Wurramarrba was a 15-year-old severely disabled boy with cerebral palsy, global developmental delay, kyphoscoliosis, epilepsy, and chronic chest anatomical distortion who died from bronchopneumonia. He was in state guardianship and placed with exceptional carers, the Kempsters, from age 8 until death. The coroner found his death was not preventable and resulted from his underlying congenital condition predisposing him to chest infections. He had nearly died from pneumonia in 2005 requiring ICU admission. Care coordination involved multiple agencies and specialist doctors. The coroner commended the Kempsters' loving, high-quality care and found no clinical failings. Death was inevitable given his progressive neurological disease.