Finding into death of William Davenport

48y · Male·Pulmonary fibrosis associated with scoliosis

William Ian Davenport, a 48-year-old man with Trisomy 4p, scoliosis, and multiple comorbidities died from pulmonary fibrosis associated with scoliosis. He presented with productive cough on 15 September 2017, treated with antibiotics. On 21 September, he had persistent chest crepitations despite antibiotic therapy; a chest X-ray was arranged but results are not documented. On 26 September, examination appeared improved with no respiratory distress. He collapsed suddenly on 27 September evening and could not be revived. Autopsy revealed significant pulmonary fibrosis, acute prostatitis with systemic inflammation (CRP 186.7), and fat embolism, suggesting possible sepsis-related cardiac arrhythmia. Clinical lessons include: ensuring timely follow-up of abnormal investigations (chest X-ray), investigating persistent respiratory signs despite treatment, and considering infectious sources (prostatitis) in patients with unexplained inflammation.