When 300,000 Units Met Meningitis: Who Stole Andrew's Hearing?
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ポッドキャストのフォローに失敗しました
ポッドキャストのフォロー解除に失敗しました
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概要
The moment a syringe held 300,000 units instead of the prescribed 10,000, a child’s life changed: within hours Andrew convulsed and developed hemiparesis, and by discharge on 24 December 1986 he was profoundly deaf in both ears. How could an admitted thirty-fold overdose and a confirmed case of pneumococcal meningitis both be true causes yet the law refuse to link them?
In this episode, we walk through the clinical timeline, the uncontested negligence, the laboratory confirmation of pneumococcal meningitis, and the legal struggle that followed to decide whether the overdose or the disease stole Andrew’s hearing - which question did the courts ultimately leave unanswered?
Person: Andrew
Date (overdose): 29 November 1986
Date (discharge): 24 December 1986
Diagnosis: Pneumococcal meningitis (confirmed by two separate cultures)
Dose administered: 300,000 units intrathecal penicillin (prescribed dose 10,000 units)
- The prescribed intrathecal penicillin dose was 10,000 units but the syringe contained 300,000 units.
- Two separate cerebrospinal fluid cultures confirmed Streptococcus pneumoniae as the cause of meningitis.
- Within hours of the injection, Andrew experienced convulsions and hemiparesis consistent with intrathecal penicillin toxicity.
- Andrew was discharged on 24 December 1986 and was found to be profoundly and permanently deaf in both ears.
- The Ayrshire and Arran Health Board admitted the overdose; the courts nonetheless declined to legally connect the overdose to Andrew’s deafness.
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