Coronial

180 results for sepsis risk

SAhospital2026-02-26

Coroner's Finding: Taylor, Warren Richard

79y · Male·Urinary tract infection with E coli bacteraemia on a background of ischaemic hyp…

…concerning vital signs (tachypnoea, tachycardia, low oxygen saturation, fever) and a history suggestive of sepsis (6-day UTI symptoms, rigors, confusion). The ED RMO assessed the patient as having a simple UTI and discha…

emergency medicinegeneral practicediagnosticcommunicationtrimethoprim
NSWhospital2025-05-28

Inquest into the Death of Garry Small

71y · Male·Subdural haemorrhage on a background of an unwitnessed fall and anticoagulation …

…iabetes, ischaemic heart disease and osteomyelitis presented with fever and hypoglycaemia. He met Red Zone sepsis criteria (lactate 4.5mmol/L) but antibiotics were significantly delayed—ceftriaxone ordered but not charte…

emergency medicinegeriatric medicinemedicationdelayceftriaxone
QLDhospital2017-10-23

Non Inquest Findings TO

73y · Male·Sepsis (gram-negative septic shock) secondary to complications of selective inte…

…e procedure in 2014, which creates a direct communication between bowel and bile duct, increasing infection risk. Post-SIRT, he developed fever (37.8°C) and was discharged home on day 2 without antibiotic prophylaxis des…

radiologyemergency medicinediagnosticmedication
ACThospital2023-01-30

Inquest into the Death of Maarouf El-Cheikh

57y · Male·streptococcus pneumonia septicaemia due to splenectomy

Maarouf El-Cheikh, a 57-year-old man with splenectomy history, presented to Calvary Hospital ED with sepsis on 21 March 2016 and died 22 March 2016. Expert review identified multiple sub-optimal care deficiencies: …

emergency medicineintensive carediagnosticmedicationceftriaxone
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
VIChospital2015-09-01

Finding into death of Gayle Rosemary Hamilton

57y · Female·Sepsis in the setting of probable aspiration pneumonia

A 57-year-old woman with Down syndrome, blindness, severe dysphagia, dementia, and epilepsy died from sepsis secondary to aspiration pneumonia. She lived in a Department of Human Services care facility and presented…

emergency medicinepalliative care
VIChospital2019-10-02

Finding into death of David Sheppard

76y · Male·Intracranial Haemorrhage Secondary to Blunt Head Trauma (Fall) in the Setting of…

…-year-old man with newly diagnosed chronic myeloid leukaemia in blast crisis was admitted to hospital with sepsis and pancytopenia from chemotherapy. He suffered multiple falls while confused from sepsis, sustaining a su…

haematologyinfectious diseasessystemdocumentationhydroxyurea
VIChospital2015

Finding into death of Suzanne Laura McIllree

59y · Female·complications of sepsis due to cellulitis in a woman with multiple medical comor…

Suzanne McIllree, 59 years old with significant intellectual disability and primary lymphedema, died from sepsis secondary to cellulitis. She was admitted to hospital on 6 August 2015 after carers noted fever, lethargy,…

emergency medicineinfectious diseases
VIC2014-02-03

Finding into death of George Manos

53y · Male·Aspiration pneumonia with septic shock in a man with severe intellectual disabil…

…ere disability affecting swallowing and communication—predisposed him to aspiration pneumonia, a recognized risk in this population. On 7 August 2012, staff recognized acute deterioration (withdrawal, anorexia) and promp…

general practicegeneral medicine
VIChospital2018-03-08

Finding into death of Lesley Fallon

56y · Female·Aspiration Pneumonia in the setting of Cerebral Palsy and Epilepsy

…a 56-year-old woman with cerebral palsy and epilepsy living in high-level residential care, presented with sepsis complicated by pneumonia, cholecystitis, and aspiration risk. Despite aggressive treatment including antib…

infectious diseasesrespiratory medicineantibiotics
NSWhospital2020-03-17

Inquest into the death of Esteban FRANCO-GARCES

11y · Male·Sepsis

…d premature infant presented to the ED with fever, lethargy and poor feeding. Despite initial suspicion of sepsis at 1:15pm, antibiotics were not administered until 4pm—a three-hour delay. Key failures included: delayed …

emergency medicinepaediatricsdiagnosticdelayantibiotics
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
VIChospital2020-05-21

Finding into death of Baby S

Female·Sepsis in the setting of a lotus birth

A premature female neonate born at 36+5 weeks via emergency caesarean section developed sepsis and died at 2 days of age. She had been delivered with lotus birth (cord left attached to placenta) and va…

obstetricspaediatricscommunicationsystembenzylpenicillin
NSWhospital2022-08-17

Inquest into the death of Michael Quinn

31y · Male·sepsis due to urosepsis and pneumonia on a background of C3 incomplete tetrapleg…

Michael Quinn, a 31-year-old quadriplegic inmate, died from sepsis secondary to urosepsis and pneumonia. He had C3 incomplete tetraplegia from a self-inflicted stab wound in…

urologyinfectious diseases
QLDhospital2015-07-27

KS - Non-inquest findings

69y · Male·Intracerebral haemorrhage due to sepsis (Staphylococcus aureus bacteraemia), com…

…nd cardiac history, administering aspirin, clopidogrel and enoxaparin. However, the patient had concurrent sepsis (Staphylococcus aureus bacteraemia) from a recurrent spinal infection. At the metropolitan hospital, sepsi…

emergency medicinecardiologydiagnosticmedicationrivaroxaban
VIChospital2026-04-14

Finding into death of Giovanni John Miceli

53y · Male·Sepsis secondary to aspiration pneumonia

…n with cerebral palsy and intellectual disability living in specialist disability accommodation, died from sepsis secondary to aspiration pneumonia. He had a known history of recurrent chest infections and swallowing dis…

infectious diseasesemergency medicineantibiotics
VIC2025-05-20

Finding into death of Alexander Petricca

29y · Male·respiratory sepsis in a man with cerebral palsy and epilepsy

…a 29-year-old man with cerebral palsy, quadriplegia, autism and developmental delay, died from respiratory sepsis following aspiration pneumonia. He had experienced multiple respiratory episodes requiring hospitalisation…

palliative caregeneral medicine
NThospital2025-05-27

Inquest into the death of Child MS

4y · Male·Haemophilus influenzae septicaemia with superimposed respiratory tract infection

…ompted senior review. While the initial diagnosis of viral illness was reasonable, improved recognition of sepsis risk factors and repeat vital sign documentation could have enhanced safety netting and parental education…

emergency medicinepaediatricsdiagnosticcommunicationparacetamol
VIChospital2025-11-10

Finding into death of Panayotis (Peter) Pavlis

83y · Male·Pneumonia

…ted on 12 February following discussion with family. He died on 19 February from pneumonia with documented sepsis. The coroner found death from natural causes with no suspicious circumstances. Clinical management appears…

emergency medicinepalliative care
TAShospital2022-03-18

Coroner's Finding: Campbell, Nancy

82y · Female·sepsis with septic shock due to ascending cholangitis

…mpbell, an 82-year-old woman with delusional disorder subject to mental health treatment orders, died from sepsis with septic shock due to ascending cholangitis. She had gallstones identified on MRCP during psychiatric a…

psychiatrygeneral medicineantipsychotic medication
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