Coronial
SAhospital2006-05-12

Coroner's Finding: MARTIN Kirsten Lee

24y · Female·multi organ failure due to meningococcal septicaemia

…stralia), examined her thoroughly but focused on excluding meningitis through absence of neck stiffness and rash. She diagnosed viral illness with possible urinary tract infection and discharged her after 3 hours. Parent…

emergency medicineinfectious diseasesdiagnosticcommunication
VIChospital2010-03-22

Finding into death of Magdalena Schauer

36y · Female·Acute brain injury due to intracerebral haemorrhage secondary to sepsis

A 36-year-old woman with intravenous heroin use history presented with depressed consciousness and purpuric rash. Paramedics appropriately administered empiric antibiotics for suspected meningococcal sepsis. Hospital inv…

emergency medicineintensive careheroin
VIChospital2025-09-25

Finding into death of Dio Miranda Katiana Kemp

3y · Female·Streptococcus pyogenes septicaemia

…-day illness. She presented four times to hospital (ED and rapid review clinic) over three days with fever, rash, and diarrhoea. Initial presentations were reasonably attributed to viral illness and her rash was assessed…

emergency medicinepaediatricsdiagnosticcommunication
VIChospital2010-03-24

Finding into death of Adam Michael Francis Fabre

19y · Male·acute bacterial meningitis with secondary cerebritis (meningococcus)

…9-year-old with fever, severe headache, neck pain, muscle pain (10/10), vomiting, tachycardia and blanching rash, presented to Casey Hospital ED at 3:45am on 14 July 2006. Despite expressing clear concern about his deter…

emergency medicineinfectious diseasesdiagnosticcommunicationparacetamol/codeine
VIChome2016-04-12

Finding into death of Cody Taulongo

<1y · Male·Kawasaki disease

A five-month-old infant presented with fever, rash, and systemic symptoms over several days. Initial assessment at the Royal Children's Hospital and by the GP…

general practicepaediatricsdiagnosticcommunicationbenzylpenicillin
NSWhospital2025-10-20

Inquest into the death of BR

1y · Unknown·unascertained

…nd pneumococcal vaccinations. He presented to Manning Base Hospital on 27 July 2020 with fever (38.5°C) and rash; was triaged as semi-urgent, waited nearly 4 hours, and was discharged at 10:15pm after assessment by the S…

emergency medicineintensive carecommunicationsysteminfanrix hexa
WAhospital2015-02-13

Inquest into the Death of Christopher Ling TAO

2y · Male·Myocarditis secondary to Kawasaki Disease

… 2 years 9 months, presented to Princess Margaret Hospital ED with a 5-day fever, cervical lymphadenopathy, rash, conjunctivitis, and other features diagnostic of Kawasaki Disease (KD) on 7 September 2010. Despite presen…

emergency medicinepaediatricsdiagnosticcommunicationparacetamol
VIChospital2017-12-13

Finding into death of Lachlan Black

2y · Male·Group A beta Haemolytic Streptococcal septicaemia (invasive Group A Streptococca…

…eat vital signs within one hour to confirm the tachycardia; failure to examine and reassess after petechial rash appeared; and not taking baseline blood pressure until 8pm. Although antibiotics were eventually ordered at…

emergency medicinepaediatricsdiagnosticsystemparacetamol
VIChospital2024-01-23

Finding into death of Baby T S

1y · Male·Group A streptococcus pneumonia (invasive Group A Streptococcus infection of the…

…ented to general practice with a 3-day cough (resolved), reduced oral intake, constipation, and a blanching rash. He was afebrile, had clear lungs on auscultation, and was diagnosed with otitis media and constipation. Am…

general practiceemergency medicineamoxicillin
NSWhospital2018-12-03

Inquest into the death of Troy Almond

1y · Male·Septicaemia due to Streptococcal (Beta Haemolytic Group A) infection

…73 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 persistent tachycardia throughout his 4-hour ED stay, Tro…

emergency medicinepaediatricsdiagnosticsystemparacetamol
VIChospital2024-11-27

Finding into death of Narelle Gay Sanders

48y · Female·Pneumonia with anaphylaxis (treated), cerebral palsy, and epilepsy as contributi…

…. Despite known penicillin allergy, azithromycin was administered and triggered anaphylaxis with urticarial rash and hypotension, which was treated. She deteriorated with deranged liver function and was transitioned to c…

intensive careinfectious diseasesazithromycin
VIChospital2024-11-27

Finding into death of Michael Ruawai Robin

59y · Male·Respiratory failure with paraplegia as a significant contributing factor

…egia (C4-C6), died from respiratory failure at Werribee Mercy Hospital on 22 June 2023. He presented with a rash and urinary tract infection on 13 June, then deteriorated on 17 June with acute coronary syndrome and decre…

emergency medicinecardiology
QLDhospital2026-07-02

Inquest into the death of Jeffrey Stewart Olsen

64y · Male·Colonic adenocarcinoma and its treatment

…ancer. Within three days of commencing treatment in September 2020, severe side effects including diarrhea, rash, and mucositis developed. Despite ceasing the drug and receiving intensive medical support including antibi…

oncologygeneral surgerycapecitabine
VIChospital2014-12-04

Finding into death of Leroy William Scott

1y · Male·Staphylococcus aureus septicaemia of unknown origin

…ence empirical antibiotics when reviewing Leroy Monday morning. By Tuesday 5 AM, Leroy developed a purpuric rash and shock. He was transferred to ICU but arrested at 10.12 AM and died. The coroner found that earlier empi…

paediatricsemergency medicinediagnosticcommunicationparacetamol
QLDhospital2025-10-01

Non-inquest findings into the death of Mr S

26y · Male·Multi-organ failure due to pneumococcal septic shock

…diagnosed with possible hepatitis based on elevated liver function tests. He developed an atypical blanched rash not recognised as varicella zoster (chickenpox), complicated by streptococcal infection. Critical deteriora…

emergency medicineinfectious diseasesdiagnosticdelayantacid
QLDhome2025-06-25

Non-inquest findings into the death of an eight month old twin whose family was known to Child Safety

<1y · Male·Severe acute dehydration and acute malnutrition

…lack of specialist medical input to child protection assessments. Officers failed to recognise severe nappy rash, poor growth parameters, and behavioural signs (rigidity, shaking) as indications of serious neglect. The c…

paediatricsemergency medicinediagnosticsystemmethamphetamine
WAhospital2013-11-08

Inquest into the Death of Nielson, Melissa Ann

24y · Female·hypoxic brain injury following unexplained cardiorespiratory arrest

…le Type 1 diabetes and multiple comorbidities presented to Joondalup ED with a rapidly spreading blistering rash on 3 September 2009. Dr C. appropriately identified a potentially serious dermatological emergency and arra…

emergency medicinedermatologycommunicationdiagnosticcefalexin
VIChome2017-04-13

Finding into death of Baby Isabella Rose

<1y · Female·Sudden Infant Death Syndrome (Category 2)

A 4-week-old infant died from Sudden Infant Death Syndrome Category 2 in an unsafe co-sleeping environment. She was placed on a mattress on the lounge room floor between her parents, who were also sleeping on the mattres…

paediatricsneonatologycannabis
WA2026-04-14

Inquest into the Death of Wayne HARRIS

56y · Male·complications of advanced metastatic sigmoid adenocarcinoma in an adult man with…

A 56-year-old Aboriginal man died of advanced metastatic sigmoid adenocarcinoma while serving an 11-year sentence for child sex offences. He had been diagnosed with Stage 4 colorectal cancer in 2018 with an expected life…

oncologypalliative carecommunicationsystemchemotherapy
WAhospital2023-12-13

Inquest into the Death of Ashleigh Rebecca HUNTER

26y · Female·meningococcal infection (Neisseria meningitidis W strain) causing septicaemia

…ed with tachycardia, hypothermia and early collapse warranted sepsis consideration despite absent fever and rash; (4) drug use disclosure may have created cognitive bias, with symptoms attributed to methamphetamine rathe…

emergency medicineinfectious diseasesdiagnosticsystemMDMA

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