Articles Posted in Misdiagnosis of Infection

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Lauren Readler, 2, was taken to the emergency room because she was vomiting and had severe stomach pain. She had not had a bowel movement for two days.

Lauren was given Zofran. Her parents were told to follow up with her pediatrician. Lauren’s symptoms persisted. She was returned to the emergency room at the same hospital. Lauren then underwent an X-ray and was diagnosed as having a gastrointestinal problem.

The emergency department physicians recommended that Lauren be transferred to a different hospital.

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In a confidential arbitration and settlement, Mr. Doe, age 64, suffered severe injuries in a car accident. Doe was taken to a hospital where he was diagnosed as having angle closure glaucoma, a condition in which the iris bulges forward to block the eye’s drainage system. Mr. Doe was given drops, a topical steroid, and an antibiotic. For several days, the doctors continued to watch Mr. Doe determining that he was not yet a candidate for eye surgery due to his weakened physical condition caused by the car accident.

About 2 ½ weeks after the car crash, Mr. Doe was discharged with instructions to follow up with an eye clinic in two weeks. However, Mr. Doe’s vision deteriorated, and he was later taken to a hospital emergency room. At that hospital he underwent emergency bilateral iridotomies. A laser iridotomy uses a focused beam of light making a hole on the outer edge or rim of the iris. The opening allows fluid to flow between the front part of the eye and the area behind the iris. The iridotomy is also the procedure used in angle closure glaucoma patients. Despite this intervention, Mr. Doe now has a lack of light perception in his left eye and only the ability to count fingers at four feet in his right eye.

Mr. Doe brought this lawsuit against the ophthalmologist who supervised his care at the hospital claiming the doctor chose not to properly treat the angle closure glaucoma by, among other things, ordering frequent checks of his intraocular pressures, performing timely laser iridotomies, examining him in the days before his discharge from the hospital and arranging for immediate follow-up care. Mr. Doe did not claim any lost income. At an arbitration, Mr. Doe received an award of $3 million for his damages. The attorney representing Mr. Doe was Kevin Donius.

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A Minnesota Appellate Court has held that expert testimony was required to prove a plaintiff’s claim that the paramedic’s negligent transfer was the cause of a patient’s ankle injury and later resulted in a leg amputation.

Mary C. suffered from various health problems and was a left-leg amputee. After she developed respiratory problems, Mary called an ambulance. When the ambulance arrived, she was being moved from her wheelchair to a stretcher. While she was being moved, she suffered a fractured right ankle. This fracture led to unsuccessful ankle surgeries followed by infection and ultimately the amputation of her right leg.

Mary C. sued the ambulance service, alleging its paramedics were negligent in transferring her to the stretcher and caused her fall and ankle fracture, which ultimately led to the amputation of her right leg. The defendant moved to dismiss, arguing that Mary had failed to serve the required affidavit of expert identification within the statutory time frame. The court granted defendant’s (the ambulance service) motion to dismiss.

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On June 1, 2009, the defendant surgeon Dr. Aaron Siegel agreed to assist a urologist during a urological surgery on 60-year-old Ivory Lakes at the Advocate Condell Medical Center in Libertyville, Ill. She had been a patient of Dr. Berger, the urologist, for about a year, treating for retroperitoneal fibrosis. Retroperitoneal fibrosis is a condition that causes urinary flow problems in both ureters. The surgery involved a procedure to free the ureters and encase the ureters with tissues harvested from the patient; the procedure was designed to prevent recurrence of the urinary flow problem.

Dr. Siegel’s role at the surgery was limited to being an assistant to Dr. Berger. Dr. Siegel never met the patient before she was placed under anesthesia, and Dr. Siegel did not know anything about her medical history or what specific procedure was planned.

During the surgery, Dr. Siegel held retractors, provided visualization for Dr. Berger and suctioned fluids from the operative field. However, one of the ureters tore when Dr. Berger grasped it, and it then it disintegrated when he tried to grasp it above the tear. Dr. Berger than decided to remove the kidney due to the lack of a viable ureter.

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On Jan. 8, 2008, Nicole Yerkovich, who was 35 at the time, was taken by ambulance to the emergency department at LaGrange Memorial Hospital because of severe abdominal pain and nausea. The ER doctor at the hospital ordered a contrast CT scan of her abdomen and pelvis to see if she was suffering from an appendicitis attack. The CT scan was initially read by a teleradiologist who reported she could not visualize the appendix and therefore could not rule out appendicitis. The teleradiologist recommended the hospital’s doctors obtain the delayed images to get better visualizations of the appendix and noted a moderate amount of free fluid in the pelvis, which could have been due to a ruptured cyst.

The following morning, the in-house radiologist, Dr. Vladislav Gorengaut, reviewed the same CT scan and reported there were no definite findings to suggest appendicitis. He noted there were ascites, which may be caused by peritonitis, and there could be a gynecological issue such as a ruptured hemorrhagic ovarian cyst. Ascites refer to the accumulation of fluid in the peritoneal cavity in the abdominal area.

Based upon the first report of Dr. Gorengaut, the emergency department doctor canceled the delayed CT scan and instead admitted Yerkovich to gynecology and ordered a pelvic ultrasound. Dr. Gorengaut read the ultrasound and reported there was echogenic fluid most likely representing blood from a ruptured ovarian cyst.

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Anthony Bausal was transported by ambulance to the emergency department at OSF St. Joseph Medical Center in Bloomington, Ill., on Sept. 20, 2008. Bausal had a cellulitis infection in his left leg, increased pain and shortness of breath. He also had underlying conditions of lupus nephritis, cardiomyopathy and chronic anemia.

Bausal, 34, was admitted into the hospital, where additional testing showed that he had a dangerously low cardiac ejection fraction of 20-25% (55% is considered normal), which is the measure of how the well or poorly the heart is pumping out blood through the body. He also had acute anemia and a gastric ulcer with erosive gastritis of the stomach.

One of the defendants, a general surgeon, Dr. Darryl Fernandes, was consulted on Sept. 25, 2008 because of concern about an infectious process in Bausal’s left leg.

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Aaron Hein, 35, saw his family practice physician, Dr. Jean Engelkemeir at the doctor’s clinic; he was complaining of left ear pain, nasal drip and sore throat. It was Sept. 17, 2008 when Dr. Engelkemeir diagnosed Hein with otitis externa (inflammation/infection of the outer ear canal) and an upper respiratory infection. Dr. Engelkemeir prescribed Floxin antibiotic eardrops.

Hein called the doctor’s clinic two days later, Sept. 19, 2008 and told Dr. Engelkemeir that he was experiencing vertigo and nausea. The doctor prescribed Meclizine, which is an antihistamine.

Hein returned to the clinic on Sept. 22, 2008 and was seen by a different doctor at which time his outer ear pain, vertigo and nausea were improving, but his eardrum was bulging.

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On March 10, 2007, Ramona Sue Yates was a patient in the emergency room at Memorial Hospital in Carbondale, Ill. She complained of severe back and abdominal pain. The defendant, emergency room physician, Dr. Daniel Doolittle, who was employed by the defendant Legatus Emergency Services, chose not to correctly diagnose or even suspect that Yates was suffering from a bowel obstruction and internal hernia.

Two years earlier, Yates, 47, had undergone gastric bypass surgery. Bowel obstruction is a known complication for patients following the weight-loss surgery.

Dr. Doolittle reportedly misdiagnosed Yates as having back spasms and had her admitted to the hospital for observation. Unfortunately, Yates died from the bowel obstruction the next day, March 11, 2007. She is survived by her husband and an adult son. She was employed as a nurse at a mental health facility.

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Joel Burnette was just 40 years old with bipolar disorder and other mental health issues. He underwent a lumbar epidural steroid injection at a pain clinic to combat his back pain. The following week Burnette developed a lump at the epidural injection site. Burnette informed nurses at the pain clinic, and he was told by a nurse that this was not something to be concerned about. Days later, Burnette received a second epidural injection. After that second injection, Burnette developed an epidural abscess, deep tissue infection and MRSA meningitis and was diagnosed as having cauda equina syndrome, which left him with chronic pain, among other problems.

Cauda equina is a condition in which the nerves in the spine are compressed. MRSA meningitis is an uncommon disease that affects the lining around the brain and spinal cord. It can be fatal. MRSA alone is a bacterial infection that if not treated and eradicated by intense antibiotic treatment can be deadly. Burnette unfortunately later committed suicide

Burnette was survived by his parents who sued the anesthesiologist, Kimber Eubanks, M.D. and the pain clinic claiming that all were negligent in choosing not to identify the infection after the first injection and giving a second injection to an infected patient.

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Louis Davlantis, 58, underwent a left hip replacement. The orthopedic surgeon who did the surgery treated him for an infection the following month. He then followed up with primary care physician, Navneet Singh, M.D., who later cleared Davlantis for a right hip replacement.

About 3 months after the second surgery, Davlantis developed sepsis and other medical problems. The hip replacement hardware was then removed from both his right and left hips. As a result, Davlantis was unable to walk for 6 months. He subsequently underwent successful revision surgeries on both hips.

Davlantis filed a lawsuit against Dr. Singh alleging that he was negligent in clearing him for the second hip surgery when Davlantis displayed obvious signs of an ongoing infection such as an elevated sedimentation rate and high blood sugar.

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