63 results
70y · Male·Metastatic melanoma with ischaemic heart disease as a contributing condition
Francis Michael Fahey, a 70-year-old prisoner, died from metastatic melanoma with contributing ischaemic heart disease. He presented with a rapidly enlarging axillary mass in February 2023, confirmed as metastatic melano…
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…
26y · Male·Multi-organ failure due to pneumococcal septic shock
A 26-year-old man presented with chest and abdominal pain, initially diagnosed with possible hepatitis based on elevated liver function tests. He developed an atypical blanched rash not recognised as varicella zoster (ch…
79y · Male·Complications of peripheral vascular disease with Type 2 Diabetes Mellitus, atri…
John Reginald Wright, a 79-year-old remand prisoner, died from complications of peripheral vascular disease with diabetes, atrial fibrillation, cardiomyopathy and delirium. He was transferred to Princess Alexandra Hospit…
61y · Male·Multiorgan failure, due to, or as a consequence of metastatic lung cancer (suspi…
Shane Anthony May, a 61-year-old prisoner, died of multiorgan failure secondary to metastatic lung cancer after 44 days in custody. He presented with COVID-19 symptoms on reception, then developed progressive respiratory…
82y · Male·sepsis due to infected sacral ulcer with osteomyelitis and necrotising fasciitis
An 82-year-old man with multiple comorbidities developed a sacral pressure injury during admission to a private hospital for investigation of leg weakness. Despite being assessed as high-risk for pressure injury, he was …
70y · Female·Heart failure due to paroxysmal atrial fibrillation treated with flecainide card…
A 70-year-old woman with complex cardiac history including heart failure, paroxysmal atrial fibrillation, and coronary atherosclerosis presented with urinary tract infection and atrial fibrillation on Christmas Day 2021.…
81y · Male·Chronic lung disease (severe COPD) with atherosclerotic cardiovascular and valvu…
An 81-year-old man with severe COPD died following inappropriate interhospital transfer to a private hospital and subsequent management errors. Key clinical lessons: (1) patients with CO2 retention require explicit ident…
84y · Male·Chronic small bowel obstruction
Lester Gilmore Shelton, aged 84, died of chronic small bowel obstruction on 4 October 2022 whilst in custody at Princess Alexandra Hospital (PAH), where he had been transferred from prison for end-of-life care. He had a …
79y · Male·Pneumonia, due to or as a consequence of emphysema (chronic obstructive pulmonar…
Herbert Charles Hilsley, aged 79, died of pneumonia secondary to emphysema with contributing ischaemic heart disease while incarcerated at Rockhampton Base Hospital. He had extensive comorbidities including COPD, ischaem…
73y · Male·Coronary atherosclerosis with hypertension, diabetes mellitus, emphysema and per…
John William Chardon, a 73-year-old prisoner, died from coronary atherosclerosis with severe calcified atheroma causing >70% stenosis of coronary arteries. He presented with dizziness on 21 October 2020, which initially …
76y · Male·Small bowel obstruction and acute renal failure, due to or as a consequence of m…
Adrian Adams, aged 76, died in Princess Alexandra Hospital from small bowel obstruction and acute renal failure secondary to metastatic colorectal cancer. He was serving an eight-year sentence for sexual offences at the …
57y · Male·Intracerebral haemorrhage due to ruptured mycotic aneurysm due to infective endo…
Cary James Saunders, aged 57, a prisoner with pre-existing mitral valve prolapse and aortic regurgitation, died from intracerebral haemorrhage secondary to infective endocarditis caused by Streptococcus mitis. He present…
56y · Male·Liver cancer (hepatocellular carcinoma)
Phillip John Wust, a 56-year-old prisoner with chronic hepatitis C and cirrhosis, died from hepatocellular carcinoma. Serial imaging from 2018-2019 showed cirrhosis but no evidence of cancer until December 2019 when he p…
43y · Male·Hanging
A 43-year-old man remanded in custody for serious sexual offences against children died by hanging in an older prison cell. While he expressed fears about safety and had passive suicidal ideation months before his death,…
59y · Male·Carcinomatosis due to adenocarcinoma of the pancreas
Dennis Petzler, a 59-year-old prisoner, died from carcinomatosis due to adenocarcinoma of the pancreas with extensive metastatic spread. He presented with abdominal pain and nausea in June 2018, initially managed as gast…
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…
75y · Male·Metastatic prostatic carcinoma
A 75-year-old Indigenous man died from metastatic prostate cancer while in prison custody. Diagnosed with cancer in 2012, he also had haemophilia A, ischaemic heart disease, and prior cerebrovascular accidents. By 2016, …
81y · Male·Massive right cerebral haemorrhage due to hypertensive heart disease
An 81-year-old man with multiple comorbidities (diabetes, cardiovascular disease, chronic kidney disease, congestive heart failure) died from a massive cerebral haemorrhage due to hypertensive heart disease while in hosp…
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 rural hospital 5.5 hours post-discharg…
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