22 results
Female·Fulminant hepatic failure due to paracetamol toxicity
A 19-year-old female with anorexia nervosa, borderline personality disorder, and chronic suicidality was admitted to St Vincent’s psychiatric inpatient unit on 28 July 2023. She reported ongoing suicidal thoughts but eng…
59y · Male·multiorgan failure complicating paracetamol toxicity
David James Dorling, a 59-year-old man with multiple sclerosis, ischaemic heart disease, and diabetes, ingested 90-100 paracetamol tablets on 1 February 2024 with suicidal intent. He attended court the next day and was r…
43y · Male·complications of decompensated liver failure due to occult sepsis and retroperit…
Con Koumis, a 43-year-old man with beta-thalassaemia major requiring regular blood transfusions, died from decompensated liver failure complicated by occult sepsis and retroperitoneal haemorrhage. He was remanded in cust…
30y · Female·Acute ethanol toxicity on a background of chronic alcoholism
Kathleen Arnold, aged 30, died from acute ethanol toxicity on a background of chronic alcoholism. She had a 20-year history of alcohol dependence, complex trauma from a childhood near-drowning incident, eating disorders,…
61y · Female·Decompensated liver failure - Child's Pugh B cirrhosis secondary to renal failur…
Debra Louise Goold, a 61-year-old NDIS participant living in Specialist Disability Accommodation, died from decompensated liver failure (Child's Pugh B cirrhosis) and renal failure. She was admitted to Ballarat Base Hosp…
98y · Female·Multi-organ failure following amanita poisoning
A 98-year-old woman died from multi-organ failure following amanita (death cap) mushroom poisoning. She had foraged wild mushrooms from her garden in April 2024 without incident, then consumed mushrooms from the same loc…
73y · Male·Acute on chronic renal failure and multi-factorial encephalopathy in a man with …
A 73-year-old man with significant comorbidities (cirrhosis, dilated cardiomyopathy, chronic kidney disease) died in prison from acute-on-chronic renal failure, hepatic encephalopathy, and multiorgan failure. He was init…
33y · Male·Haemoperitoneum secondary to lacerated spleen as a result of peritoneal ascitic …
A 33-year-old man with severe alcoholic liver disease (Child-Pugh C) and poor prognosis died from haemoperitoneum following splenic laceration during a diagnostic ascitic tap procedure. Two junior doctors (HMOs/Basic Phy…
62y · Female·Hypovolaemic and cardiogenic shock (hysterectomy) in the context of cardiomegaly…
A 62-year-old woman with significant comorbidities (cirrhosis, cardiomegaly, thrombocytopenia, chronic kidney disease, COPD) died from hypovolaemic and cardiogenic shock during elective total laparoscopic hysterectomy fo…
67y · Male·Fulminant liver failure
A 67-year-old man presented to his GP with discoloured urine. Blood tests revealed acute liver toxicity but critical results were communicated via facsimile, with unclear timing of GP's review. The patient deteriorated r…
43y · Male·Liver failure with cirrhosis in the setting of recent paracentesis and Hepatitis…
Mr Wilson was a 43-year-old Aboriginal man with end-stage liver cirrhosis and hepatitis C who died 18 days after emergency umbilical hernia repair and one day after paracentesis drainage of 8 litres of ascites at a rural…
47y · Male·Complications of cirrhosis and metastatic hepatocellular carcinoma
Lance Robert Nikkelson, a 47-year-old Aboriginal man in prison custody, died from complications of cirrhosis and metastatic hepatocellular carcinoma. He presented with abdominal pain in May 2019, initially assessed as co…
62y · Male·Complications of Hepatocellular Carcinoma
A 62-year-old man with hepatitis C-related cirrhosis died from complications of hepatocellular carcinoma while in prison custody. He was identified with a 4cm liver mass in April 2016 and confirmed to have an 8cm hepatoc…
53y · Male·decompensated alcoholic liver disease in the setting of gastro-intestinal haemor…
A 53-year-old man with advanced alcoholic liver disease (Child-Pugh C) died of decompensated liver disease with gastrointestinal haemorrhage. He was arrested for drunk in public place, lodged in police cells, and release…
44y · Female·Lymphocytic choriomeningitis virus (LCMV)-like virus infection following failed …
A 44-year-old woman died on 1 January 2007, six days after receiving a cadaveric renal transplant. She was one of three organ recipients from the same donor who died within six days of each other from a novel lymphocytic…
64y · Female·Lymphocytic choriomeningitis virus (LCMV)-like arenavirus infection, post liver …
A 64-year-old woman died on 3 January 2007 from a lymphocytic choriomeningitis virus (LCMV)-like arenavirus acquired through cadaveric liver transplantation. The donor had recently returned from Serbia with unexplained w…
66y · Female·Complications following paracetamol overdose
A 66-year-old woman died from complications of paracetamol overdose after ingesting Mersyndol (codeine/paracetamol combination tablets). She had developed dependence on over-the-counter Mersyndol over approximately 8 yea…
62y · Male·Complications of end stage liver disease
Donald Edward Paterson, a 62-year-old man with Child-Pugh Class C cirrhosis secondary to hepatitis C, diabetes, and depression, died from complications of end-stage liver disease while an inmate in custody receiving pall…
37y · Male·combined ethanol and drug toxicity
Kenneth Agnew, a 37-year-old man resident in aged care, died from combined ethanol and drug toxicity involving methadone and benzodiazepines. He had hepatitis C and fatty liver disease. Critical clinical lessons include:…
52y · Female·end-stage liver failure and congenital hepatic fibrosis
Karenne King, a 52-year-old woman with intellectual disability living in Department of Human Services care, died from end-stage liver failure and congenital hepatic fibrosis. She had a long-standing history of congenital…
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