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Coroner Urges Reforms After Antiviral Side Effects Kill Patient at Stockport Hospital

The coroner issued a Prevention of Future Deaths report urging Stockport’s NHS trust to create a formal escalation route for lumbar punctures.

Overview

  • Audsrey Newman, admitted to Stepping Hill Hospital on November 11 after a seizure, was treated for suspected encephalitis she did not have.
  • The inquest found she died from recognised risks of acyclovir, an antiviral started in line with guidelines for suspected encephalitis.
  • A crucial lumbar puncture was delayed for a week due to a lack of competent ward doctors and no consultant taking ownership.
  • When the test was finally done, results were negative for encephalitis, and Ms Newman died on November 24 after developing severe renal failure.
  • Assistant coroner Andrew Bridgeman’s report highlights the absence of a formal referral pathway to secure help for lumbar punctures, noting current escalation is informal, and the trust says it is reviewing the concerns and will respond.