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QLDrural hospital2020-05-08

FD - Non-inquest findings

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

A 68-year-old woman with oculopharyngeal muscular dystrophy died from sepsis due to peritonitis following dislodgement of a PEG tube inserted on 27 February 2018. She presented to a r…

gastroenterologyemergency medicinediagnosticcommunicationaugmentin duo
VIChospital2018-09-03

Finding into death of Robert James Wright

63y · Male·Bronchopneumonia in a man with cholangitis due to choledocholithiasis

…allstones, followed by ERCP on 26 June. Despite initial apparent recovery, he deteriorated on 30 June with sepsis and was admitted to Box Hill Hospital. Conservative treatment with antibiotics was chosen over repeat ERCP…

general practicegastroenterologypossibly_preventableantibiotics
SAhospital2021-06-30

Coroner's Finding: MOKETARINJA Anthea Ryder

42y · Female·multiple organ failure due to sepsis on a background of pneumonia, spontaneous b…

…ketarinja, a 42-year-old Aboriginal woman with advanced cirrhosis, died from multiple organ failure due to sepsis, pneumonia, spontaneous bacterial peritonitis, and end-stage liver disease. She was admitted with pneumoni…

general medicinepsychiatryantibiotics
QLDhospital2019-12-06

Taylor, Darren Rodney

52y · Male·Metastatic neuroendocrine carcinoma

…astases. He underwent chemotherapy (one cycle), biliary stent insertions for recurrent obstruction-related sepsis, and palliative radiotherapy. His condition deteriorated despite treatment, and he died from multi-organ f…

oncologypalliative caremorphine
TAShospital2021-08-13

Coroner's Finding: Mrs M

Female·multi-organ failure

Mrs M died from multi-organ failure following recurrent intra-abdominal sepsis and surgical complications after endoscopic duodenal perforation in June 2019. During resection of a duode…

gastroenterologygeneral surgerydiagnostic
WAhome2016-09-30

Inquest into the Death of Janene DEVINE

48y · Female·malnutrition in association with sepsis on a background of end stage multiple sc…

A 48-year-old woman with end-stage multiple sclerosis died from malnutrition and sepsis after her husband, her primary carer, failed to provide adequate nutrition via a PEG tube despite receivin…

neurologygastroenterologysystemdelay
VIChospital2017-05-04

Finding into death of Wayne David Baldi

48y · Male·sepsis in the setting of aspiration pneumonia and bowel obstruction

…ldi, a 48-year-old man with cerebral palsy and intellectual disability living in supported care, died from sepsis secondary to aspiration pneumonia and bowel obstruction. He presented to hospital with abdominal pain and …

emergency medicinegeneral medicinelidocaine
VIChospital

Finding into death of Mr C

55y · Male·Ascending cholangitis due to choledocholithiasis

… with Down syndrome died from ascending cholangitis due to choledocholithiasis following recurrent biliary sepsis. He had multiple comorbidities including Alzheimer's disease, depression, and cardiac dysfunction, and was…

intensive caregeneral medicineantibiotics
NSWhospital2019-12-09

Inquest into the death of Douglas ANDERSON

84y · Male·staphylococcus aureus sepsis complicating metastatic malignancy

Douglas Anderson, aged 84, died of staphylococcus aureus sepsis complicating metastatic malignancy (gastro-oesophageal origin) while in custody at Westmead Hospital, nine…

emergency medicinegeneral medicine
WAhospital2016-10-24

Inquest into the Death of David WAYMOUTH

47y · Male·Multi organ failure and sepsis complicating ulcerating colitis and intestinal ob…

…pite multidisciplinary team care including ICU management and emergency colectomy, he developed peritoneal sepsis and multi-organ failure. The coroner found no deficiency in medical care provided during imprisonment or h…

orthopaedic surgerygeneral surgerymethadone
WAhospital2022-02-14

Inquest into the Death of Jeffrey Lee STRETTLES

52y · Male·complications in association with advanced malignancy (hepatocellular carcinoma)…

…isoner, died from complications of advanced hepatocellular carcinoma, end-stage cirrhosis, and generalised sepsis. He had contracted Hepatitis C in the late 1980s and was diagnosed with liver cancer in early 2017, treate…

gastroenterologyoncologysystemledipasvir
VIChospital2021-06-01

Finding into death of Beryl Maloney

76y · Female·Aspiration pneumonia and cholangitis; obstructive jaundice from intraduct tumour…

…d cholangitis secondary to an obstructive bile duct tumour. She was admitted with obstructive jaundice and sepsis, underwent ERCP procedures for bile duct obstruction and stent insertion. Despite antibiotic therapy and s…

gastroenterologygeneral medicineantibiotics
VIC2020-12-15

Finding into death of Matthew Glenister Blake Clark

51y · Male·Complications of Recurrent Small Bowel Obstruction (palliated)

…ency surgery in June 2018 for a perforated bowel with foreign body (suspected chicken bone) complicated by sepsis and pneumonia. Despite recovery and discharge, he re-presented in July with recurrent symptoms requiring p…

surgerygastroenterology
VIChospital2019-10-31

Finding into death of Armani El-Sayegh

0y · Female·Right ventricular failure secondary to pulmonary atresia with ventricular septal…

… medical management, and 15 cardiac surgical procedures, she developed progressive complications including sepsis, seizures, and organ dysfunction. The Coroners Prevention Unit found her medical care was appropriately ma…

cardiologyneonatologyprostin
VIChospital2023-04-14

Finding into death of John Edward Hadland (Millar)

38y · Male·abdominal and chest sepsis complicating iatrogenic left pneumothorax and laparot…

…ar-old man with chromosome 1 short arm deletion syndrome, intellectual disability, and scoliosis died from sepsis following iatrogenic pneumothorax and emergency laparotomy for small bowel obstruction. He was admitted wi…

surgeryintensive careproceduralsystemmacrogol
VIChospital2011-10-20

Finding into death of Andrew Westley

56y · Male·Cardiogenic shock, end stage ischemia due to chemo related cardiomyopathy, fulmi…

…nd. Post-operatively, he required prolonged ECMO, IABP, and biventricular assist devices but developed VRE sepsis, aspergillus infection, and multi-organ failure, dying 30 days post-transplant. Expert review found the de…

cardiothoracic surgerytransplant medicinedelayvancomycin
TAShospital2018-11-08

Coroner's Finding: Fenton, Timothy John

57y · Male·sepsis and multiple organ failure secondary to aspiration pneumonia

…ted gastric contents, developing aspiration pneumonia, acute respiratory distress syndrome, and ultimately sepsis with multiple organ failure leading to death on 1 October 2017. The coroner found the failure to aspirate …

emergency medicinegeneral surgeryproceduralcommunicationsodium valproate
WAhospital2023-11-17

Inquest into the Death of Child MD (Name Subject to a Suppression Order)

2y · Male·multiorgan failure in a boy with clinically suspected sepsis and Cockayne syndro…

…syndrome (a rare life-limiting genetic condition) died from multiorgan failure due to clinically suspected sepsis following hospitalisation for acute illness with vomiting, lethargy and poor oral intake. He was admitted …

intensive carepaediatricsmedicationceftriaxone
WAhospital2014-12-30

Inquest into the Death of Gheorghe Gruici

71y · Male·Organ failure in an elderly man receiving palliative medical care for renal fail…

…ere managed through prison medical staff and external hospital referrals. In final admission, he developed sepsis and suspected infective endocarditis, ultimately receiving palliative care. The coroner found the quality …

general medicinenephrologyomeprazole
NSWhospital2019-12-19

Inquest into the death of Lesley ARNDELL

61y · Female·multi organ failure due to abdominal sepsis

Lesley Arndell, aged 61, died from multi-organ failure due to abdominal sepsis after undergoing a Whipple's procedure for pancreatic cancer. Key clinical lessons include: (1) patients w…

general surgeryintensive caremedicationcommunicationpiperacillin/tazobactam

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