Coronial
VICcommunity2013-04-18

Finding into death of Robert John Spencer

43y · Male·Acute bacterial meningitis

…r, a 43-year-old man, died from acute bacterial meningitis on 3 October 2009. He presented with back pain, fever, and paraesthesia on 25 September, attended Benalla Hospital (discharged home), saw GP Dr S. on 28 Septemb…

general practiceemergency medicinediagnosticibuprofen
NSWhospital2026-01-13

Inquest into the death of Paul Harris

43y · Male·Bilateral pulmonary thrombo-emboli; contributory factors included obesity, coron…

…ry emboli while hospitalized at Hay District Hospital. He presented in September 2019 with pneumonia and Q fever (occupational exposure from kangaroo processing), was discharged, then readmitted in October 2019 with wor…

general practiceemergency medicinediagnosticcommunicationceftriaxone
SAhospital2005-08-11

Coroner's Finding: BEGBIE Peter John

41y · Male·multi-organ failure and staphylococcal septicaemia following pulmonary and aorti…

…n with a pre-existing aortic valve abnormality developed staphylococcal septicaemia, likely initiated by Q fever exposure at his abattoir workplace or a finger laceration. He presented with fever and chest pain but was …

cardiothoracic surgerygeneral medicinediagnosticantibiotics
QLDhospital2015-08-28

Wright, Verris Dawn; Carter, Jasmyn Louise

Female·Verris Dawn Wright: septic shock due to small bowel ischaemia secondary to small…

…on failures and an uncharged doctor's mobile phone prevented escalation. Jasmyn Carter, 17, presented with fever and hypotension documented as 'emergency' on the Q-ADDS observation tool, but staff did not activate the r…

emergency medicinegeneral practicediagnosticcommunication
QLDrural hospital2020-05-08

FD - Non-inquest findings

68y · Female·Sepsis (Enterobacter cloacae) due to peritonitis as a consequence of leaking per…

…f a PEG tube inserted on 27 February 2018. She presented to a rural hospital 5.5 hours post-discharge with fever, nausea, vomiting and abdominal pain. Critical failures included: failure to recognise sepsis despite elev…

gastroenterologyemergency medicinediagnosticcommunicationaugmentin duo
SAhospital2010-12-06

Coroner's Finding: GEORGE Irene Thelma

84y · Female·septicaemia secondary to septic arthritis of the left knee

…at Ashford Hospital ED reasonably excluded septic arthritis based on borderline blood tests and absence of fever, though knee aspiration was not performed. She was transferred to a private hospital under Dr W.'s care. O…

emergency medicinegeneral medicinediagnosticcommunicationmorphine
QLDprison2020-12-17

Hobbs, Richard William

48y · Male·Coronary atherosclerosis with acute cardiac event

Richard William Hobbs, aged 48, died from cardiac arrest in custody at Brisbane Correctional Centre on 21 November 2017. He had significant comorbidities including coronary artery disease (recent stent insertion), diabet…

emergency medicinecardiologydiagnosticcommunicationaspirin
SAhospital2017-11-15

Coroner's Finding: BROADWAY Rita Ann

66y · Female·urinary tract infection with contributing hypertensive heart disease, diabetes m…

Rita Ann Broadway, 66, died from urinary tract infection on 2 January 2015, one day after presenting to Modbury Hospital Emergency Department with vaginal pain and signs of infection. She had a long-term indwelling cathe…

emergency medicineinfectious diseasesdiagnosticcommunicationparacetamol/codeine
QLDhospital2025-10-08

Inquest into the death of Janis Ellen Doherty

57y · Female·Multi-organ failure due to drug-induced liver injury caused by sodium valproate …

Mrs Doherty, a 57-year-old woman with CADASIL syndrome, was prescribed sodium valproate for migraine prophylaxis in November 2019. She developed acute hepatitis approximately 5 months later, presenting with jaundice, nau…

neurologyhepatologydiagnosticmedicationsodium valproate

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