Specialty hub
Findings involving sepsis, antimicrobial stewardship, and management of complex infections.
Search all 378 cases378
Total cases
44%
Preventable or possibly preventable
50%
With coroner recommendations
35%
Escalation failure identified
Specialty tagging, error classification, and clinical flags are AI-generated and may contain inaccuracies. Always refer to the original finding.
1y · Female·Rapidly developing Streptococcus pneumoniae infection leading to invasive pneumo…
Arianna Maragol, a 16-month-old girl, died from rapidly developing Streptococcus pneumoniae infection leading to invasive pneumococcal disease while in childcare on 24 August 2018. Key clinical lessons emerged: (1) Pneum…
61y · Male·Pneumonia complicating Trisomy 21
Graham Peter Moore, a 61-year-old man with Down syndrome, epilepsy, and early-onset dementia living in residential care, died of pneumonia on 8 December 2025. He developed community-acquired pneumonia in late November, w…
85y · Male·Sepsis due to Staphylococcus aureus bacteraemia due to septic arthritis of left …
An 85-year-old man died in custody from sepsis due to Staphylococcus aureus bacteraemia arising from septic arthritis of the left shoulder, on a background of congestive heart failure. While receiving generally adequate …
53y · Male·Sepsis secondary to aspiration pneumonia
Giovanni John Miceli, a 53-year-old man with cerebral palsy and intellectual disability living in specialist disability accommodation, died from sepsis secondary to aspiration pneumonia. He had a known history of recurre…
40y · Female·Complications of influenza A infection in a woman with Moebius syndrome (palliat…
A 40-year-old woman with Moebius syndrome, cerebral palsy and intellectual disability died from complications of influenza A infection. She resided in specialist disability accommodation with 24/7 support. On 3 July, she…
60y · Male·Pulmonary tuberculosis in a man with chronic obstructive pulmonary disease, with…
A 60-year-old man remanded in custody died from pulmonary tuberculosis complicated by severe COPD. Key clinical issues included: delayed diagnosis (TB not suspected at intake despite respiratory symptoms), patient's refu…