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A question of care

Dr Jock Mackenzie considers the most recent clinical negligence cases, including claims for breaches of duty of technical performance, investigation, and quality of treatment

29 November 2016

In a case concerning the diagnosis of pneumococcal meningitis, XYZ (A Child) v Maidstone & Tunbridge Wells NHS Trust [2016] EWHC 2687 (QB), Mr Justice Foskett had to determine the quality of treatment provided to the claimant (X) and, in particular, whether a paediatric SHO had been negligent in failing to administer intravenous antibiotics.

X suffered two febrile convulsions aged 17 months and 21 months from which he made a full recovery and, at the time, a C-reactive protein (CRP) was not considered suggestive of a bacterial infection. Two months later, X developed a fever at home, suffered a fit lasting three minutes, was admitted to hospital and assessed by the SHO at 22.20 who noted a raised temperature but no rash or neck stiffness, and considered the diagnosis as a febrile convulsion of viral origin. She reviewed X at 02.40 when he was asleep (not waking him) and noted his temperature and pulse were no...

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