This is an emergency room failure to diagnose sepsis medical malpractice case filed on by a woman in Montgomery County who tragically underwent bilateral above knees and above wrists amputations. This case was filed in Health Claims Arbitration on August 17, 2016, and it is the 407th medical malpractice case filed in 2016 in Maryland.Summary of Plaintiff's Allegations
Plaintiff goes to Kaiser Permanente, Kensington Center with complaints of congestion, yellow phlegm, loss of her voice, and a cough that she has had for two weeks. She tells the doctors that she is unable to sleep at night and that over the counter medicines are not helping her. She is diagnosed with bronchitis and laryngitis and is given an antibiotic, azithromycin, to take for four days.
A month and a half later, her symptoms still are present. She goes to defendant doctor. Her systems are the same as the first visit, except worse - continued cough, fever, sore throat, sinus pressure, headaches, post-nasal drip, and body aches. She has a low-grade fever, tachycardia, and hypotension. These signs in a patient with a known or suspected infection are indicative of systemic inflammatory changes, and should signal a more thorough assessment. However, defendant providers do not assess her respiratory rate, her oxygen saturation, do not order a CBC, and do not order chest x-rays.
Plaintiff's medical malpractice lawyer alleges that if these steps had been taken, it would become clear to defendants that she was fighting a more severe infection. More significantly, it takes another visit two days later for defendants to transfer her to the hospital. At this visit she has diarrhea, vomiting, she is febrile, has low oxygen saturation levels, has trouble breathing, and has a white blood count consistent with sepsis.
By the time she arrives at Holy Cross Hospital, the plaintiff is extremely hypoxic and she is diagnosed with septic shock and multi-organ failure. Her chest x-rays suggest pneumonia, and laboratory tests are consistent with renal failure, lactic acidosis, and metabolic acidosis. Blood cultures confirm Streptococcus pyogenes infection, and she develops peripheral ischemia to her arms and legs from vasoconstriction secondary to medication given to her.
She is transferred to University of Maryland for a possible extracorporeal life support (ECMO). As a result of her peripheral ischemia, plaintiff has to undergo bilateral above-knee amputations and bilateral above-wrist amputations.Additional Comments
- The injuries in this case are brutal and the future care costs may dwarf Maryland's malpractice cap on noneconomic damages.
- The plaintiff was probably not misdiagnosed with sepsis. Pneumonia can cause sepsis.
- It is hard to imagine an expert arguing that doing lab tests was not what the standard of care required.
- This case is likely to be fought on causation. You can expect Kaiser to argue that when she returned a month-and-a-half later, the die had already been cast. This is a tough argument to make.
- Kaiser has a history of settling medical malpractice cases. Now their defense lawyers are taking about changing that reputation and letting more cases go to trial. Still, you can bet this case will reach an out-of-court settlement before these parties see Montgomery County Courthouse steps.
- Montgomery County
- Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.
- Internal medicine doctor
- Holy Cross Hospital
- University of Maryland
- Failure to appreciate plaintiff manifested signs and symptoms of bacterial infection
- Failure to perform tests and examinations including radiologic studies to assess the nature of the infection
- Failure to order and administer antibiotics
- Failure to have plaintiff admitted to the hospital
- Informed consent
- Terrance Baker, M.D. - board certified in family medicine, geriatric medicine, & emergency medicine
If you have suffered as a result of the negligence of a doctor, nurse or hospital, our law firm can help you. You are entitled to justice and monetary compensation for the needless harm that has been done to you. Miller & Zois has a very long history of results in medical malpractice and nursing home cases in Maryland, earning large verdicts and settlements. Call today to speak with a caring medical negligence attorney who can help you at 800-553-8082 or get a free online case review.More Malpractice Claim Information